Individual provider Active NPI

Tanya Renois Bonvillain, DPT, PT

  • Physical Therapist
  • Geismar, LA
National Provider Identifier
1023045424
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06643 Issued in LA
Practice address
36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081
Phone
(225) 744-7325
Fax
(225) 744-7330
NPI assigned
Jun 28, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH4836 AL
Physical Therapist 225100000X 06643 LA Primary

Addresses

Primary practice location

36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081

Mailing address

6756 Langley Dr
Baton Rouge, LA 70809-5178
Phone (225) 744-7325

Other practice location 1

205 Highway 43 N
Saraland, AL 36571-2126
Phone (251) 679-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000549 AL Practitioner - Physical Therapist in Private Practice 2062461320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

1902 Hand Ave
Suite C
Bay Minette, AL 36507-4113
Phone (251) 239-5395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4836ALMDPhysical Therapist
06643LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, P.C. CurrentSince Mar 23, 2025 Accepting new patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
The Orthopaedic Group, PC CurrentSince Mar 23, 2025 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
Peak Performance Physical Therapy Limited Partnership PastSince May 25, 2021 Accepting new patients
Mobile Infirmary Association Past Accepting new patients
Saraland Physical Therapy Services Inc Physical Therapist PastSince Mar 4, 2013 Accepting new patients
Peak Performance Physical Therapy and Fitness, LLC Physical Therapist Past Accepting new patients

Locations

1902 Hand Ave
Ste C
Bay Minette, AL 36507
Phone (251) 239-5395

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1023045424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 LANGLEY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095178",
            "telephone_number": "225-744-7325",
            "fax_number": "225-744-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36491 DUTCHTOWN GARDENS AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343081",
            "telephone_number": "225-744-7325",
            "fax_number": "225-744-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Highway 43 N",
            "address_purpose": "LOCATION",
            "city": "Saraland",
            "state": "AL",
            "postal_code": "365712126",
            "country_code": "US",
            "telephone_number": "251-679-0015",
            "fax_number": "251-679-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONVILLAIN",
        "first_name": "TANYA",
        "middle_name": "RENOIS",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4836",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geismar, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.