Bonvita Pediatric Therapy and Lactation, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BONVITA PEDIATRIC THERAPY AND LACTATION, LLC

Practice address

1610 N Columbia Ave
Seward, NE 68434-1111

Phone

(402) 523-2128

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Teddie Genter, OTR/LNPI 1093963969

Title

Occupational Therapist

Phone

(562) 417-6068

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teddie Belle Genter

  • Occupational Therapist
  • Waco, TX
  • NPI 1093963969
  NPD Authorized official

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1336928357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N COLUMBIA AVE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N COLUMBIA AVE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341111",
            "telephone_number": "402-523-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONVITA PEDIATRIC THERAPY AND LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "GENTER",
        "authorized_official_first_name": "TEDDIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "562-417-6068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara D. and Van C. Springer
• Jill Renee Bathen, DPT
• Jill Christine Beisel, PA-C
• Bell Chiropractic, P.C.
• Jordan Lawrence Bell, DC
• Candice Bridgford, MS, CCC-SLP
• Suzanne Renee Briggs, FNP-C
• Jason S Brooks, PA-C
• Eldridge G Burns Jr., M.D.
• Jack Everie Carlson, LIMHP LPC

• Occupational Therapist in Seward, NE
• Providers in Seward, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.