Bonnie Hart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3542 Issued in ME

Practice address

45 Mallett Dr
Freeport, ME 04032-1312

Phone

(207) 442-0325

Fax

(207) 443-4578

NPI assigned

Jun 22, 2009

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Orthopedics & Sports Medicine,P.a.

  dba Coastal Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Brunswick, ME
  • NPI 1912009416
  NPD (past)
• Coastal Orthopedics & Sports Medicine,P.a.

  • Physical Therapist
  • Brunswick, ME
  • NPI 1952485765
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1114154796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MALLETT DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321312",
            "telephone_number": "207-442-0325",
            "fax_number": "207-443-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MALLETT DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321312",
            "telephone_number": "207-442-0325",
            "fax_number": "207-443-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "BONNIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1952485765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434335099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Kathleen Gorchoff, LCPC
• Sarah Grant, OT
• Julie M Gray, PA-C
• Nina Sao Haas, DPT
• John Gordon Haldeman, P.T.
• Leah Taylor Hartman
• Chris H Haskell, MTCM
• Mary Beth Hassett, L. AC., DIPL. O.M.
• Kari R Haugen, LCPC, CRC
• Meneah Rose Haworth, NP

• Physical Therapist in Freeport, ME
• Providers in Freeport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.