Active NPI
Heidi P Bonaroti, OT
- Occupational Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1472
- Practice address
- 1802 W Parkside LN
Phoenix, AZ 85027-1322 - Phone
- (480) 510-4219
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1472 | AZ | Primary |
Addresses
Primary practice location
1802 W Parkside LN
Phoenix, AZ 85027-1322
Mailing address
1802 W Parkside LN
Phoenix, AZ 85027-1322
Phone (480) 510-4219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791568 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5017 E Washington St
Phoenix, AZ 85034-2033
Phone (602) 277-1073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1472 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurologic Therapy Specialists LLC | Current | Accepting new patients | |
| Neuro Institute, Inc | Past | Accepting new patients |
Locations
5017 E Washington St
Ste 107
Phoenix, AZ 85034
Phone (480) 565-2276
5017 E Washington St
Ste 107A
Phoenix, AZ 85034
Phone (602) 277-1073
5055 E Washington St
Ste 125
Phoenix, AZ 85034
Phone (602) 277-1073
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1386721512
-
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- Tempe, AZ
- NPI 1194813279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1225257843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 W PARKSIDE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271322",
"telephone_number": "480-510-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 W PARKSIDE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271322",
"telephone_number": "480-510-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAROTI",
"first_name": "HEIDI",
"middle_name": "P",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "791568",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.