Active NPI
Lynette Dorothy Bonjorni, L.M.T.
- Mechanotherapist
- Belleview, FL
National Provider Identifier
1285902965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA 0009470
- Practice address
- 11407 SE Hwy 301, Suite 3
Belleview, FL 34420 - Phone
- (352) 245-1074
- NPI assigned
- Dec 8, 2011
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA 0009470 | FL | Primary |
Addresses
Primary practice location
11407 SE Hwy 301, Suite 3
Belleview, FL 34420
Mailing address
16720 SE 45TH CT
Summerfield, FL 34491-6129
Phone (352) 245-1074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 0009470 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1285902965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16720 SE 45TH CT",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344916129",
"telephone_number": "352-245-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11407 SE HWY 301, SUITE 3",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "34420",
"telephone_number": "352-245-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONJORNI",
"first_name": "LYNETTE",
"middle_name": "DOROTHY",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA 0009470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.