Joan Theresa Bruso, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0781 Issued in AZ

Practice address

4494 W Peoria Ave
Suite 115 B
Glendale, AZ 85302-2023

Phone

(602) 910-1996

Fax

(623) 934-3887

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kinect Physical Therapy, PLLC

  • Physical Therapist
  • Chandler, AZ
  • NPI 1811265929
  NPD (past)
• Performance Physical Therapy, LLC

  • Physical Therapist
  • Tempe, AZ
  • NPI 1962511949
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1669788386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6622",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853126622",
            "telephone_number": "602-910-1996",
            "fax_number": "623-934-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE",
            "address_2": "SUITE 115 B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022023",
            "telephone_number": "602-910-1996",
            "fax_number": "623-934-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSO",
        "first_name": "JOAN",
        "middle_name": "THERESA",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlay Brownson
• Jerry Harold Brue
• Joanna Bruguera
• Andrea L Brunson, NP
• Gretchen Elizabeth Brunstein, RN
• Christina Bruyn
• Michael Conrad Bryan, MD
• Joe Bryant, D.D.S.
• Kennedy Bryant
• Robyn Bryant

• Occupational Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.