Grace Bonus

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016417 Issued in NY

Practice address

7907 Jamaica Ave
Woodhaven, NY 11421-1142

Phone

(347) 494-5684

Fax

(347) 494-5641

NPI assigned

Sep 22, 2016

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Outcome Physical Therapy, PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1114208311
  Medicare reassignment NPD
• Handworks OT PC

  • Specialist
  • Flushing, NY
  • NPI 1639441652
  NPD (past)
• Thera Dynamic Physical Therapy P.C

  • Physical Therapist
  • Woodhaven, NY
  • NPI 1750471124
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1043769821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211142",
            "telephone_number": "347-494-5684",
            "fax_number": "347-494-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211142",
            "telephone_number": "347-494-5684",
            "fax_number": "347-494-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONUS",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanc Physical Therapy P.C.
• Bless You RX Inc
• Zachary Jones Blouin, DDS
• Blue Jay Supply Inc
• Avon D Boddin, SPECIAL EDUCATION
• Angela M. Boundy, M.S.ED, BCBA
• Evelina Braude, PT
• Rachel Brodskiy, PHARMD
• Bronx Psychiatric Center
• Brooklyn Children Center

• Physical Therapist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.