Individual provider Active NPI

Lorette Bernadette Bonhomme, OTR/L

  • Occupational Therapist
  • Sebring, FL
National Provider Identifier
1346237526
Registry record updated Aug 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5500 Issued in FL
Practice address
123 US Highway 27 N
Sebring, FL 33870-2100
Phone
(863) 471-6303
Fax
(863) 471-1251
NPI assigned
Oct 3, 2005
Last updated
Aug 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5500 FL Primary

Addresses

Primary practice location

123 US Highway 27 N
Sebring, FL 33870-2100

Mailing address

4218 Dunn Ave
Sebring, FL 33875-4894
Phone (863) 382-2930

Other identifiers 1

IdentifierTypeStateIssuer
Z9071OtherFLBLUE CROSS/BLUE SHIELD

Other names 1

  • Lorette Bernadette Africa Former name

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

LicenseStateTypeSpecialty
OT5500FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Occupational Therapy, Inc Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1346237526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 DUNN AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338754894",
            "telephone_number": "863-382-2930",
            "fax_number": "863-471-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702100",
            "telephone_number": "863-471-6303",
            "fax_number": "863-471-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHOMME",
        "first_name": "LORETTE",
        "middle_name": "BERNADETTE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z9071",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTE",
            "last_name": "AFRICA",
            "middle_name": "BERNADETTE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.