Melissa Meghan Bonewicz, PHYSICAL THARAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01135200 Issued in NJ

Practice address

151 Fries Mill Rd Ste 1
Turnersville, NJ 08012-2016

Phone

(856) 374-3707

Fax

(856) 374-3708

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cross Keys Physical Therapy Sports Medical Center, Inc

  • Physical Therapist
  • Turnersville, NJ
  • NPI 1528128600
  Medicare reassignment NPD
• Bay-Sea Physical Therapy of Bridgeton PA

  • Physical Therapist
  • Bridgeton, NJ
  • NPI 1568468072
  NPD (past)
• Bay-Sea Physical Therapy of Vineland PA

  • Physical Therapist
  • Vineland, NJ
  • NPI 1548266042
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1003840976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 RUSHFOIL DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943903",
            "telephone_number": "609-828-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-374-3707",
            "fax_number": "856-374-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEWICZ",
        "first_name": "MELISSA",
        "middle_name": "MEGHAN",
        "credential": "PHYSICAL THARAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01135200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Block, M.D.
• Joya Alannie Blount, LAC
• Kris Delostrinos Boado
• Sreedevi Bolisetti, M.D.
• April Bonay
• Florence Bonfigli, LCSW
• Steven A Boorstein, PHARM.D.
• Richard C Bradley, DPM
• Breaking Boundaries Chiropractic Center
• Breaking Dawn Counseling, Roseanna Bodner, LCSW L.L.C.

• Physical Therapist in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.