Active NPI
Lisa Marie Bruno, ATC
- Contractor
- Camp Hill, PA
National Provider Identifier
1790814960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- RT001277A
- Practice address
- 3601 Simpson Ferry Rd
Camp Hill, PA 17011-6407 - Phone
- (717) 877-8172
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | RT001277A | PA | Primary |
Addresses
Primary practice location
3601 Simpson Ferry Rd
Camp Hill, PA 17011-6407
Mailing address
64 Millstone Dr
Palmyra, PA 17078-3090
Phone (717) 838-8919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT001277A | PA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790814960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MILLSTONE DR",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170783090",
"telephone_number": "717-838-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SIMPSON FERRY RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170116407",
"telephone_number": "717-877-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "RT001277A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.