Randi Cheryl Bonner, PT, CLT-LANA, ALM

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14391 Issued in FL

Practice address

1180 Spring Centre South Blvd Ste 225
Altamonte Springs, FL 32714-1991

Phone

(863) 309-8108

Fax

(800) 688-2049

NPI assigned

Jan 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Axiomhealth Management LLCGroup PAC ID 3072897602, 3 clinicians

Practice addresses (Care Compare)

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.

• Axiomhealth Management LLC

  • Rehabilitation Clinic/Center
  • Altamonte Springs, FL
  • NPI 1912456799

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Watson Clinic LLP

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1558409730
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1013987338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 RICHMOND WAY",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303063",
            "telephone_number": "352-422-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD STE 225",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141991",
            "telephone_number": "863-309-8108",
            "fax_number": "800-688-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "RANDI",
        "middle_name": "CHERYL",
        "credential": "PT, CLT-LANA, ALM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT14391",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Mary Bologna, APRN
• Christopher Boltersdorf, PA-C
• Vasudeva R Bommineni, M.D.
• Richard Bonet
• Tona Bonilla
• Julia N Borawska
• Carissa Borgeson
• Danielle Borieo, BS
• Sarah Borot
• Jose L Borrero, M.D.

• Physical Therapist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.