Tao Bon Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3533 Issued in NV

Practice address

7151 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0498

Phone

(702) 568-8450

Fax

(702) 568-8451

NPI assigned

Apr 11, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tao.bon.1@11199.direct.athenahealth.com

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.

• Livara Health Medical Group PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1144469404
  Medicare reassignment Care Compare group NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Smith Therapy Partners

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1134758709
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Menifee, CA
  • NPI 1396976734
  NPD
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  NPD
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Del Mar, CA
  • NPI 1720517428
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336503713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 VEGA RIDGE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 CASCADE VALLEY CT STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280498",
            "telephone_number": "702-568-8450",
            "fax_number": "702-568-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S Placentia Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706300",
            "country_code": "US",
            "telephone_number": "714-579-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BON",
        "first_name": "TAO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291327",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rae Bomer
• Yanira Elizabeth Bomia
• Grace Bommarito, DO
• Matthew Bommarito
• Elan Dahl Bomsztyk, MD
• Bona Fide Movement LLC
• Josephine Vergara Bona
• Elsie G Bonafacio
• Victoria Bonanno
• Bonanza Dental Partners (Boca Dental and Braces)

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.