Sammy Bonfim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007119 Issued in GA

Practice address

125 Plantation Centre Dr S
BLDG 900
Macon, GA 31210-2079

Phone

(478) 757-2255

Fax

(478) 477-2977

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Macon Rehabilitation and Performance Center Inc.Group PAC ID 1951487743, 2 clinicians

P4 Physical Therapy Limited PartnershipGroup PAC ID 3779950647, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Macon Rehabilitation & Performance Center Inc

  • Physical Therapist
  • Macon, GA
  • NPI 1598942120
  Medicare reassignment Care Compare group NPD Authorized official
• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Lagrange, GA
  • NPI 1609570498
  Medicare reassignment Care Compare group NPD
• P4 Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1467228676

  Physical Therapist

  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1144399494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR S",
            "address_2": "BLDG 900",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-757-2255",
            "fax_number": "478-477-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR S",
            "address_2": "BLDG 900",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-757-2255",
            "fax_number": "478-477-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFIM",
        "first_name": "SAMMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Joseph Bolea, M.D.
• Charles Boling, PA
• Linda Baughman Bolt, OTR/L, CHT
• Margaret C. Boltja, M.D.
• Catherine J Bomberger, MD
• Lashondra Bonner
• Mark W Bonner, MD
• Vandeler N Booker, NP-C
• Anna Elizabeth Boone
• David Wesley Boone, DO

• Physical Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.