Active NPI
Bonnie Laine Lasher, DPT
- Physical Therapy Clinic/Center
- Dana Point, CA
National Provider Identifier
1053928697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 294619
- Practice address
- 33772 Copper Lantern St Apt C
Dana Point, CA 92629-6427 - Phone
- (619) 988-7612
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 294619 | CA | Primary |
Addresses
Primary practice location
33772 Copper Lantern St Apt C
Dana Point, CA 92629-6427
Mailing address
34145 Pacific Coast Hwy # 116
Dana Point, CA 92629-2808
Phone (619) 988-7612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
285 W Kaahumanu Ave
Suite 205
Kahului, HI 96732-1623
Phone (808) 877-4663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294619 | CA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AMC Corporation | Current | Accepting new patients | |
| Stern at Home Physical Therapy PC | Physical Therapy | Current | Accepting new patients |
| AMC Corporation | Physical Therapy | Current | Accepting new patients |
Locations
285 W Kaahumanu Ave
Ste 205
Kahului, HI 96732
Phone (808) 873-0060
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
Organizations & group practices 3
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.
-
- Physical Therapist
- Kahului, HI
- NPI 1114082625
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
HI, Physical Therapy
-
- Physical Therapy Clinic/Center
- Paia, HI
- NPI 1225366545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1053928697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34145 PACIFIC COAST HWY # 116",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292808",
"telephone_number": "619-988-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33772 COPPER LANTERN ST APT C",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926296427",
"telephone_number": "619-988-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHER",
"first_name": "BONNIE",
"middle_name": "LAINE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "294619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.