Individual provider Active NPI

Bonnie J O'Rourke-Barr, P.T.

  • Physical Therapist
  • St Thomas, VI
National Provider Identifier
1124058128
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
122 Issued in VI
Practice address
6115 Estate Smith Bay Apt 5
Suite 334, 335
St Thomas, VI 00802-1330
Phone
(340) 513-9166
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 122 VI Primary

Addresses

Primary practice location

6115 Estate Smith Bay Apt 5
Suite 334, 335
St Thomas, VI 00802-1330

Mailing address

7405 Estate Saint Peter
St Thomas, VI 00802-2717
Phone (340) 513-9166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130114000035 VI Practitioner - Physical Therapist in Private Practice 5698923860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Fitness and Wellness Center LLCGroup PAC ID 2365663267, 6 clinicians

Practice addresses (Care Compare)

6115 Estate Smith Bay
Suite 334 335
St Thomas, VI 00802-1324
Phone (340) 714-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Be Physical Therapy LLC Physical Therapist CurrentSince Jul 10, 2012 Accepting new patients
Synergy Fitness and Wellness Center LLC Physical Therapist CurrentSince Sep 9, 2014 Accepting new patients
Synergy Fitness & Wellness Center LLC Current Accepting new patients

Locations

6115 Estate Smith Bay
Ste 334335
St Thomas, VI 00802
Phone (340) 513-9166

6115 Estate Smith Bay
Unit 5
St Thomas, VI 00802
Phone (340) 513-9166

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1124058128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 ESTATE SAINT PETER",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022717",
            "telephone_number": "340-513-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 ESTATE SMITH BAY APT 5",
            "address_2": "SUITE 334, 335",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021330",
            "telephone_number": "340-513-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE-BARR",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.