Cody Lucas Bonte, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2000029735 Issued in SD

Practice address

1200 W University Ave
Mitchell, SD 57301-4358

Phone

(605) 995-2600

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Male

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

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1043732993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ELM AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013311",
            "telephone_number": "605-321-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W UNIVERSITY AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014358",
            "telephone_number": "605-995-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTE",
        "first_name": "CODY",
        "middle_name": "LUCAS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SD",
            "license": "2000029735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lynn Bjerrum, DDS
• Gregg A Bleeker, O.D.
• Dan Bloodgood
• Dawn Boender, MD
• Jacqueline Bonrud, RBT
• Lacey Bonte, DNP
• Jayden Renee Bormann
• Jenna Bortnem, PT, DPT
• Matthew Alvin Bosma, DPT
• Megan Christine Bosma, DPT, ATC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.