Angela Tina Bruno-Carron, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

011557-1 Issued in NY

Practice address

259 Broadway
Lynbrook, NY 11563-3243

Phone

(516) 410-8498

Fax

(516) 825-3537

NPI assigned

Aug 8, 2008

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

Other names 1

• Angela Tina Bruno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Abc,PT,PLLC

  • Pediatric Physical Therapist
  • Lynbrook, NY
  • NPI 1306092374

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1801042908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CAMBRIDGE ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652152",
            "telephone_number": "516-410-8498",
            "fax_number": "516-825-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-410-8498",
            "fax_number": "516-825-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO-CARRON",
        "first_name": "ANGELA",
        "middle_name": "TINA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "011557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BRUNO",
            "middle_name": "TINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brookside Home Care Inc.
• David P Browdy, D.M.D.
• Sheila Brown-Sterling
• Nikki Bruce Stanley
• Annemarie Bruen
• Roman Brushtein, MD
• Melina Bruzzone
• Karen A Buckley, MA, OTL
• Joseph Buonfiglio I, LMHC
• Carole Ann Burke, MS.ED, BCBA

• Pediatric Physical Therapist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.