Alexander Bondarenko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301197 Issued in CA

Practice address

20265 Ventura Blvd Ste C
Woodland Hills, CA 91364-2550

Phone

(818) 710-8901

Fax

(818) 306-3525

NPI assigned

Dec 5, 2021

Last updated

Dec 5, 2021By the provider in NPPES

Sex

Male

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 MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merz, Inc.Group PAC ID 3173418456, 4 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.

• Merz, Inc.

  dba Merz Physical Therapy

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1932253473
  Medicare reassignment Care Compare group NPD
• Oreal Cotton Doctor of Physical Therapy Inc

  dba Propel Physical Therapy of Woodland Hills

  • Physical Therapy Clinic/Center
  • Woodland Hills, CA
  • NPI 1871897645

  Physical Therapist

  NPD
• Therapy Partners Inc

  • Physical Therapist
  • Forest Lake, MN
  • NPI 1821179607
  NPD (past)

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1295493401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19275",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913199275",
            "telephone_number": "818-710-8901",
            "fax_number": "818-306-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642550",
            "telephone_number": "818-710-8901",
            "fax_number": "818-306-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDARENKO",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Bolanos
• Kiana Donyah Bolden
• Alexandra Elizabeth Bolton
• Bona Psychology Services Inc.
• Stacey Rhodes Bona, PSY.D
• Destiny Karen Bonilla
• Kashua Bonilla
• Neha Sharma Bonilla
• Rebecca Rose Bonneville, NURSE PRACTITIONER
• Kacy Michelle Boray

• Physical Therapist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.