Annamarie Bruno, LMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA41175 Issued in FL

Practice address

111 W Main St Ste 207B
Inverness, FL 34450-4811

Phone

(352) 448-7866

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1629429147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 207B",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 207B",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504811",
            "telephone_number": "352-448-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "ANNAMARIE",
        "name_prefix": "Ms.",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "405065-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MASSAGE THERAPY",
            "identifier": "MA41175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bryan D Fredrick MD LLC
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• Christina Burdick, RBT
• Alejandra Burdiles, CDM

• Massage Therapist in Inverness, FL
• Providers in Inverness, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.