1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Physical Therapist
  6. NPI Profile

NICHOLAS BRUNO PT, DPT, CSCS
NPI 1164831160
Physical Therapist - Orthopedic in Providence, RI

Active since August 05, 2014Accepts Medicare Assignment
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905(401) 457-1590 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Bruno Pt, Dpt, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BRUNO PT, DPT, CSCS (NPI 1164831160) is an individual orthopedic provider in Providence, Rhode Island, licensed in Rhode Island (PT02713) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1164831160
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameNICHOLAS BRUNOCredential: PT, DPT, CSCS
Location Address2 DUDLEY ST, SUITE 200Providence, RI 02905-3236
Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 457-1590
Phone(401) 457-1590
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 5, 2014
✔ NPI 1164831160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in RI · PT02713
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2 DUDLEY ST, Providence, RI 02905
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Bruno Pt, Dpt, Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981825585
PECOS Enrollment IDI20141024000014

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Bruno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Academy Physical Therapy, Inc.
2.9 mi
Orthopedic
667 ACADEMY AVE
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 5 clinicians in this Medicare group
NPI 1659883742 (401) 418-1835

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARS STANGENBERG MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318
ALICIA P CAPRIO
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
CHARLENE A TATE MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
DR. PHILLIP R LUCAS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 457-2102
J DONALD EASTON MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
MRS. AMY POTTER PILOTTE APN, BC
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0595
NANCY ELEANOR STONE NP
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-4500
EDWARD J. MARCACCIO JR. MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Bruno's NPI number?

The NPI number for Nicholas Bruno is 1164831160. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Nicholas Bruno located?

Nicholas Bruno practices at 2 Dudley St Suite 200, Providence, RI 02905. The listed phone number is (401) 457-1590.

What is Nicholas Bruno's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Nicholas Bruno enrolled in Medicare?

Yes. Nicholas Bruno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Bruno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bruno reassigns Medicare benefits to Academy Physical Therapy, Inc. (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Bruno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Bruno was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.