Rebecca Lynn Bonner, MS, OTR/L CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5201006936 Issued in MI

Practice address

710 S Lincoln Rd
Suite 500
Escanaba, MI 49829-1292

Phone

(906) 789-2639

Fax

(906) 789-3764

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By 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

Credentials

Master of Science

State licenses

Practice roles

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.

• DLP Marquette General Hospital LLC

  dba UP Health System Marquette

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1841541695
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1316379753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COUNTY ROAD HQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558855",
            "telephone_number": "906-225-5044",
            "fax_number": "906-225-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S LINCOLN RD",
            "address_2": "SUITE 500",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291292",
            "telephone_number": "906-789-2639",
            "fax_number": "906-789-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "MS, OTR/L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201006936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Mechanix Physical Therapy of Escanaba, LLC
• James J Boes, DO
• Randy Bogaudo, D.D.S.
• Kaitlin Bolle
• Hailey Bonetti
• Christine Borgstrom, FNP
• Grace M Borkadi, PA
• George T. Botbyl, MA, LMSW
• Gabriela Boyle
• Hunter Branstrom-Kleiman

• Hand Occupational Therapist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Hand Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.