Individual provider Active NPI

John E Bonaroti, PT

  • Physical Therapist
  • Murrysville, PA
National Provider Identifier
1215905583
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005381L Issued in PA
Practice address
4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone
(412) 856-8060
Fax
(724) 327-0173
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 PT005381L PA Primary

Addresses

Primary practice location

4115 William Penn Hwy
Murrysville, PA 15668-1887

Mailing address

4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone (724) 327-7099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000110 PA Practitioner - Physical Therapist in Private Practice 3173425022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone 41285680603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT005381LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Sports Medicine Center, LTD. Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

3520 Route 130
Ofc
Irwin, PA 15642
Phone (724) 744-0950

451 Hyde Park Rd
Ste 180
Leechburg, PA 15656
Phone 41285680608

2571 Mosside Blvd
Ste 3
Monroeville, PA 15146
Phone (412) 372-7900

2571 Mosside Blvd
Monroeville, PA 15146
Phone (412) 856-8811

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

4115 William Penn Hwy
Ste 304
Murrysville, PA 15668
Phone 7243277099203

40 Lincoln Way
North Huntingdon, PA 15642
Phone 41285680602

1000 Integrity Dr
Ste 240
Pittsburgh, PA 15235
Phone (412) 241-0620

1813 Golden Mile Hwy
Ste 200
Pittsburgh, PA 15239
Phone 41285680606

1000 Integrity Dr
Pittsburgh, PA 15235
Phone (412) 242-8450

125 Market St
Scottdale, PA 15683
Phone (724) 887-6615

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1215905583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681887",
            "telephone_number": "724-327-7099",
            "fax_number": "724-327-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681887",
            "telephone_number": "412-856-8060",
            "fax_number": "724-327-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAROTI",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005381L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.