Bonnie Hurst, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104685 Issued in TX

Practice address

17430 Campbell Rd Ste 112
Dallas, TX 75252-5297

Phone

(214) 628-9047

NPI assigned

May 28, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1013531763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 CHARLESTOWN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301729",
            "telephone_number": "972-979-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525297",
            "telephone_number": "214-628-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1104685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.higherstandardshomehealth.com",
            "affiliation": "N",
            "address_1": "17430 Campbell Rd Ste 112",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary E Hurley, M.D.
• Michele Hurley, M.S.
• Will Alexander Hurley
• Hurst Integrated Center PLLC
• Adele Hoffman Hurst, PH.D.
• David C Hurst, MD
• George W. Hurst, M.D.
• Cace Stuart Hurt, NP-C
• Caroline Madison Hurt
• William Hurtado Ariza, DC

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.