Mackenzie Bodnaruk

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

113 Salem Tpke Ste 10a
Norwich, CT 06360-6492

Phone

(860) 319-0077

Fax

(860) 319-5737

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1184537904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SALEM TPKE STE 10A",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606492",
            "telephone_number": "860-319-0077",
            "fax_number": "860-319-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNARUK",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anne Bizzaro, NNP-BC
• Rachel Blackstone, APRN, PMHNP-BC
• Cheryl Chao Blankenship, D.C. L.AC.
• Kathryn C Boardman, NP
• Harold J Bodin, MD
• Hannah Ryan Bogoian, PH.D.
• Elizabeth Jane Bolt, LCSW
• Amber Jean Bonchuk
• Stephie Jovanie Bonheur
• Kathleen Bonin, APRN

• Occupational Therapist in Norwich, CT
• Providers in Norwich, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.