Bonnie Lacey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070028285 Issued in IL

Practice address

155 W North Ave
Chicago, IL 60610-1314

Phone

(872) 221-1211

NPI assigned

May 31, 2024

Last updated

May 31, 2024By 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

Enrolled in IL, IA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kepros Physical Therapy and Performance PCGroup PAC ID 7719105063, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kepros Physical Therapy and Performance, P.C.

  • Physical Therapy Clinic/Center
  • Cedar Rapids, IA
  • NPI 1457779019

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Midwest Rehabilitation Group Inc

  • Physical Therapist
  • Arlington Heights, IL
  • NPI 1174779623
  NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1285475624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101314",
            "telephone_number": "872-221-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101314",
            "telephone_number": "872-221-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Patterson Lacasse, PH.D.
• Margeaux Lacavera, DO
• Christina Lacci, DPT
• John Vincent Lacci Jr., MD
• Aneta M Lacek, D.D.S.
• Roy Lacey, D.O.
• Kristen Lach, MS, RD, LDN, CNSC
• Thomas Lach, OD
• Brandy Nicole Lachapelle
• Karen Finke Lachcik, OTR/L,CHT

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.