Karen J Bonifas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3499-024 Issued in WI

Practice address

713 N Leonard St
West Salem, WI 54669-1229

Phone

(608) 786-2274

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073676078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 HOWRY ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546031087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N LEONARD ST",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691229",
            "telephone_number": "608-786-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIFAS",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3499-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan J Bagniefski, OTR
• Kristin Patricia Barth, CRNA
• Mary Clare Becks, MT-BC, NMT, WMTR
• Erica Boland, D.C.
• Kyle David Boland, D.C.
• Angela Boutin, LPN
• Amy Pat Brieske, RPH
• Jennifer Bungartz
• Burkhardt Physical Therapy Center LLC
• Myra Marie Burkhardt, PT

• Physical Therapist in West Salem, WI
• Providers in West Salem, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.