Individual provider Active NPI

Sylvia Adair Johnson Bruno, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1831933522
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29053 Issued in FL
Practice address
5957 Cattlemen LN
Sarasota, FL 34232-6200
Phone
(941) 371-1185
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29053 FL Primary

Addresses

Primary practice location

5957 Cattlemen LN
Sarasota, FL 34232-6200

Mailing address

364 Ibiza Loop
Venice, FL 34292-1318
Phone (860) 798-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730001701 FL Practitioner - Physical Therapist in Private Practice 3173060928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Ferrara Lymphedema Therapist LLCGroup PAC ID 1951878420, 10 clinicians
James Ferrara Lymphedema Therapist LLCGroup PAC ID 9234559881, 13 clinicians
Functional Transformation LLCGroup PAC ID 2860862067, 4 clinicians

Practice addresses (Care Compare)

1116 Rotonda Cir
Rotonda West, FL 33947-2127
Phone (941) 830-3749

5957 Cattlemen LN
Sarasota, FL 34232-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29053FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James Ferrara Lymphedema Therapist LLC CurrentSince Feb 1, 2026 Accepting new patients
Functional Transformation LLC Physical Therapist CurrentSince Jun 27, 2024 Accepting new patients

Locations

5957 Cattlemen Ln
Sarasota, FL 34232
Phone (941) 371-1185

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1831933522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 IBIZA LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921318",
            "telephone_number": "860-798-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 CATTLEMEN LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326200",
            "telephone_number": "941-371-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "SYLVIA",
        "middle_name": "ADAIR JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.