Donna Angela Bonomi, MS/PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

020169 Issued in NY

Practice address

7 Mason Blvd
Staten Island, NY 10309-1735

Phone

(718) 619-3349

NPI assigned

Mar 11, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1083855613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MASON BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091735",
            "telephone_number": "718-619-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MASON BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091735",
            "telephone_number": "718-619-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMI",
        "first_name": "DONNA",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MS/PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "020169",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzette Bonilla, SW- L.M.S.W.
• Michelle Bonilla, LMHC
• Mildred Pabua Bonilla, RN
• Julia Bonoan
• Marcus Salvador Bonoan, MD
• Giovanni Bonomo, M.D.
• Natalie M Bonomo, PA-C
• Jaime Bonura
• Steven Bonvino, MD
• Allen Luther Boone III, CRPA - P

• Pediatric Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.