Active NPI
Lydia Bruni
- Physical Therapist
- Poulsbo, WA
National Provider Identifier
1841145232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT70079059
- Practice address
- 19505 7TH Ave NE
Poulsbo, WA 98370-7700 - Phone
- (360) 598-3764
- Fax
- (360) 598-3282
- NPI assigned
- Mar 2, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT70079059 | WA | Primary |
Addresses
Primary practice location
19505 7TH Ave NE
Poulsbo, WA 98370-7700
Mailing address
340 E Randolph St Unit 1601
Chicago, IL 60601-7476
Phone (312) 802-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403001190 | WA | Practitioner - Physical Therapist in Private Practice | 0345725685 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19505 7TH Ave NE
Poulsbo, WA 98370-7700
Phone (360) 779-3777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT70079059 | WA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1841145232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E RANDOLPH ST UNIT 1601",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017476",
"telephone_number": "312-802-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19505 7TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707700",
"telephone_number": "360-598-3764",
"fax_number": "360-598-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNI",
"first_name": "LYDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT70079059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.