Active NPI
Megan Gwendolyn Bonk
- Pediatric Physical Therapist
- Erie, PA
National Provider Identifier
1306499223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT027776
- Practice address
- 100 Barber PL
Erie, PA 16507-1863 - Phone
- (814) 460-6001
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT027776 | PA | Primary |
Addresses
Primary practice location
100 Barber PL
Erie, PA 16507-1863
Mailing address
100 Barber PL
Erie, PA 16507-1863
Phone (814) 460-6001
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 |
|---|---|---|---|
| PT027776 | PA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Gertrude a Barber Center Inc | Current | Accepting new patients |
Locations
100 Barber Pl
Erie, PA 16507
Phone (814) 453-7661
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/barberinstitute/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Erie, PA
- NPI 1063571750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1306499223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BARBER PL",
"city": "ERIE",
"state": "PA",
"postal_code": "165071863",
"telephone_number": "814-460-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BARBER PL",
"city": "ERIE",
"state": "PA",
"postal_code": "165071863",
"telephone_number": "814-460-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONK",
"first_name": "MEGAN",
"middle_name": "GWENDOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT027776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.