Active NPI
Rona Bongat, COTA/L
- Occupational Therapy Assistant
- St Charles, IL
National Provider Identifier
1093153975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.001848
- Practice address
- 975 N 5TH Ave
St Charles, IL 60174-1299 - Phone
- (630) 443-8220
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.001848 | IL | Primary |
Addresses
Primary practice location
975 N 5TH Ave
St Charles, IL 60174-1299
Mailing address
6S001 Steeple Run Dr
Naperville, IL 60540-3713
Phone (773) 682-2086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.001848 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1093153975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6S001 STEEPLE RUN DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403713",
"telephone_number": "773-682-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 N 5TH AVE",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741299",
"telephone_number": "630-443-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGAT",
"first_name": "RONA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.001848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.