Bonnie Ann Blair

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2246 Issued in MA

Practice address

61 Medford St
Somerville, MA 02143-3421

Phone

(617) 629-3919

Fax

(617) 629-4644

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1235312547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GORHAM RD",
            "address_2": "FLOOR 1",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552272",
            "telephone_number": "781-396-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433421",
            "telephone_number": "617-629-3919",
            "fax_number": "617-629-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie F Bivins, LMHC, LADC II, LCPC
• Anne Christine Bjerg, PHD
• BK Wellness LLC
• Alexander Black
• William L Black, M.D.
• Elaine Travers Blake, LCSW
• Lisa Blake
• Madison Blake
• Jessamyn Blau, MD
• Louis A Bley, MD

• Pediatric Physical Therapist in Somerville, MA
• Providers in Somerville, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.