Perry J Bonomo, MAPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00735900 Issued in NJ

Practice address

219 Richmond Ave
New Milford, NJ 07646-2517

Phone

(201) 907-3150

Fax

(201) 907-3155

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1841622354
  Medicare reassignment NPD
• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD
• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347
  NPD (past) Authorized official
• Madison Spine and Physicaltherapy, Inc.

  • Physical Therapist
  • New Milford, NJ
  • NPI 1063591659
  NPD (past) Authorized official
• Marathon Physical Therapy

  • Physical Therapist
  • Great Neck, NY
  • NPI 1235285271
  NPD (past) Authorized official
• Drayer Physical Therapy - South Carolina, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1154816833
  NPD
• Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Hilton Head, SC
  • NPI 1386076891
  NPD
• Madison Spine Limited Partnership

  • Physical Therapist
  • New Milford, NJ
  • NPI 1689940900
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2007.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1174536320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMO",
        "first_name": "PERRY",
        "middle_name": "J",
        "credential": "MAPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00735900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in New Milford, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.