Individual provider Active NPI

Alexis Makenzie Bonny Roy

  • Physical Therapist
  • Toppenish, WA
National Provider Identifier
1144746801
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60755001 Issued in WA
Practice address
306 Bolin Dr
Toppenish, WA 98948-1644
Phone
(509) 865-4455
Fax
(509) 453-2057
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 60755001 WA Primary

Addresses

Primary practice location

306 Bolin Dr
Toppenish, WA 98948-1644

Mailing address

2205 W Yakima Ave
Yakima, WA 98902-2870
Phone (509) 388-5626

Other identifiers 1

IdentifierTypeStateIssuer
2086086MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102003425 WA Practitioner - Physical Therapist in Private Practice 0446516728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60755001WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
County of Yakima Toppenish School District 202 CurrentSince Mar 20, 2025 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 28, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 28, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640

306 Bolin Dr
Toppenish, WA 98948
Phone (509) 865-4455

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

210 S 72nd Ave
Ste 130
Yakima, WA 98908
Phone (509) 453-3103

Interoperability endpoints

  • Direct secure messaging: alexis.roy.bonny.1@31414.direct.athenahealth.com

Organizations & group practices 6

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1144746801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022870",
            "telephone_number": "509-388-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BOLIN DR",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481644",
            "telephone_number": "509-865-4455",
            "fax_number": "509-453-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ALEXIS",
        "middle_name": "MAKENZIE BONNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60755001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086086",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

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