Individual provider Active NPI

Seaton Bonar, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1093387045
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31863 Issued in AZ
Practice address
6630 W Cactus Rd Ste B112
Glendale, AZ 85304-1662
Phone
(623) 469-5811
NPI assigned
Jul 10, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31863 AZ Primary

Addresses

Primary practice location

6630 W Cactus Rd Ste B112
Glendale, AZ 85304-1662

Mailing address

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002516 AZ Practitioner - Physical Therapist in Private Practice 4486057569 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Apr 26, 2022 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Apr 26, 2022 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2021 Accepting new patients
360 Physical Therapy, LLC CurrentSince Jun 30, 2021 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6630 W Cactus Rd
Ste B112
Glendale, AZ 85304
Phone (623) 469-5811

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1093387045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245223",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 W CACTUS RD STE B112",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041662",
            "telephone_number": "623-469-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAR",
        "first_name": "SEATON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.