Individual provider Active NPI

Bonnie Laine Lasher, DPT

  • Physical Therapy Clinic/Center
  • Dana Point, CA
National Provider Identifier
1053928697
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
294619 Issued in CA
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

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250124003331 HI Practitioner - Physical Therapist in Private Practice 7416486147 Reassigns benefits to 2 organizations

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
AMC CorporationGroup PAC ID 8224006515, 5 clinicians

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

LicenseStateTypeSpecialty
294619CAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Corporation CurrentSince Dec 1, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapy CurrentSince Jun 23, 2025 Accepting new patients
AMC Corporation Physical Therapy CurrentSince Dec 1, 2024 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.

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.

Verify at the official NPI Registry.