Bonnie Louise Edgar I, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z10640 Issued in LA

Practice address

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062

Phone

(239) 351-3715

Fax

(239) 351-2046

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Stepping Stone Kids Therapy LLC

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1255000311
  NPD

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1174842454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 VANDA DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344082",
            "telephone_number": "318-245-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-351-3715",
            "fax_number": "239-351-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "BONNIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lucia Echeverri Garcia, MD
• Eric P Eck, DO
• Julie Eckhardt, LMHC
• Ecsc II LLC
• Nia Marie Mylika Eddie, RD
• Breanna Rachelle Edge
• Nicole Pamela Edge, BCBA
• Timothy Edge
• Edison Chiropractor Center Inc
• Edison Mall Dental P.a

• Occupational Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.