Individual provider Active NPI

Dominic Brugnoni

  • Physical Therapist
  • Deerfield Beach, FL
National Provider Identifier
1508511106
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38264 Issued in FL
Practice address
378 Hillsboro Technology Dr
Deerfield Beach, FL 33441-1836
Phone
(954) 449-0850
NPI assigned
Feb 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38264 FL Primary

Addresses

Primary practice location

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441-1836

Mailing address

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329002388 FL Practitioner - Physical Therapist in Private Practice 8224424346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barwis Methods Physical TherapyGroup PAC ID 7618259409, 21 clinicians

Practice addresses (Care Compare)

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441-1836
Phone (954) 449-0850

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38264FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barwis Methods Physical Therapy Physical Therapist CurrentSince Feb 5, 2022 Accepting new patients

Locations

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441
Phone (954) 449-0850

378 Hillsboro Technology Dr
#D
Deerfield Beach, FL 33441
Phone (954) 449-0850

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1508511106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 HILLSBORO TECHNOLOGY DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 HILLSBORO TECHNOLOGY DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411836",
            "telephone_number": "954-449-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGNONI",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.