Maryellen Bruno, PT
Individual provider Active NPI Physical Therapist · Winthrop, MA
NPI 1508991407 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508991407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3462 (MA)
- Practice address
- 11 Bartlett Rd
Winthrop, MA 02152-2912 - Phone
- (617) 846-0832
- Fax
- (617) 486-2594
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3462 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Dreher PT & Associates, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3462 | MA | Yes |
Addresses
Primary practice location
11 Bartlett Rd
Winthrop, MA 02152-2912
Mailing address
14 Undine Ave
Winthrop, MA 02152-1431
Phone (617) 846-9162
Other providers in Winthrop, MA
- Brooks Dental, P.C.
- Howard Brooks
- Stephanie Brooks
- Dewitt C Brown III
- Brown'S Rexall Drug Store
- Lynneanne Burnettsb
- Michael E Cagan
- Caitlin Vanslooten Psychotherapy LLC
- Abigail Anne Callery
- Teresa Carideo
All providers in Winthrop, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.