Nicole Ann Bruno, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001001 Issued in CT

Practice address

6 Logging Trail LN
Brookfield, CT 06804-1345

Phone

(203) 744-9368

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Restore Mobile Therapy LLC

  • Occupational Therapist
  • Brookfield, CT
  • NPI 1205451663
  NPD

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1689487241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SULLIVAN FARM",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764500",
            "telephone_number": "203-300-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOGGING TRAIL LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041345",
            "telephone_number": "203-744-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Sullivan Farm",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067764500",
            "country_code": "US",
            "telephone_number": "203-300-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shermonte Brooks VI
• Alexa Brown, LCSW
• Britiany Alicia Browning
• Adele Brudnicki, M.D.
• Carla G Bruning, PA-C
• Michael D Bulmash, PHD
• C a D Homecare Network
• Shannon Calise, BCBA
• Candlewood Chiropractic Care PC
• Candlewood Family Dental LLC

• All providers in Brookfield, CT
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.