Organization Active NPI

Bonita Health & Healing Corp

  • Physical Therapy Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1083908123
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM 26978 Issued in FL
Legal business name
BONITA HEALTH & HEALING CORP
Practice address
28331 S Tamiami TRL
Suite 2
Bonita Springs, FL 34134-3215
Phone
(239) 676-7269
Fax
(239) 676-7275
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Mary Ann Zawada, CHIROPRACTOR
Title
Chiropractor
Phone
(239) 676-7269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM 26978 FL Primary

Addresses

Primary practice location

28331 S Tamiami TRL
Suite 2
Bonita Springs, FL 34134-3215

Mailing address

28331 South Tamiami Trail
Suite 2
Bonita Springs, FL 33134
Phone (239) 676-7269

National Provider Directory

National Provider Directory

Locations

28331 S Tamiami Trl
Ste 2
Bonita Springs, FL 34134
Phone (239) 676-7269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1083908123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28331 SOUTH TAMIAMI TRAIL",
            "address_2": "SUITE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "239-676-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28331 S TAMIAMI TRL",
            "address_2": "SUITE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343215",
            "telephone_number": "239-676-7269",
            "fax_number": "239-676-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA HEALTH & HEALING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ZAWADA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "239-676-7269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM 26978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.