Organization Active NPI

Dennis James Bonner, MD, LTD

  • Physician Assistant
  • Newtown, PA
National Provider Identifier
1114025418
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052018-LPA Issued in PA
Legal business name
DENNIS JAMES BONNER, MD, LTD
Practice address
126 S State St
Suite 100
Newtown, PA 18940-3524
Phone
(215) 579-6991
Fax
(215) 579-9774
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Maureen Frederick, PTNPI 1669439808
Title
Principle
Phone
(215) 677-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT005508L PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT008212-L PA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X MA052018-LPA PA Primary

Addresses

Primary practice location

126 S State St
Suite 100
Newtown, PA 18940-3524

Mailing address

126 S State St
Suite 100
Newtown, PA 18940-3524
Phone (215) 579-6991

Other names 1

  • Industrial Health Care, Center for Rehab and Fitness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dennis James Bonner MD LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114025418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S STATE ST",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403524",
            "telephone_number": "215-579-6991",
            "fax_number": "215-579-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S STATE ST",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403524",
            "telephone_number": "215-579-6991",
            "fax_number": "215-579-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS JAMES BONNER, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "215-677-0930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005508L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008212-L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052018-LPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial Health Care, Center for Rehab and Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.