Individual provider Active NPI

Ashley G Bonkofsky, MS, CCC-SLP

  • Speech-Language Pathologist
  • Sumter, SC
National Provider Identifier
1396076113
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9199 Issued in SC
Practice address
175 Decoy CT
Sumter, SC 29154-4727
Phone
(501) 743-8497
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 160654 AK
Speech-Language Pathologist 235Z00000X 8951152-4102 UT
Speech-Language Pathologist 235Z00000X 9199 SC Primary

Addresses

Primary practice location

175 Decoy CT
Sumter, SC 29154-4727

Mailing address

175 Decoy CT
Sumter, SC 29154-4727
Phone (501) 743-8497

Other practice location 1

116 Main St
Summerton, SC 29148-6904
Phone (803) 488-0030

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
160654AKMDSpeech-Language Pathologist
8951152-4102UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonkofsky Speech and Language Speech-Language Pathologist CurrentSince Aug 17, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1396076113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DECOY CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291544727",
            "telephone_number": "501-743-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DECOY CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291544727",
            "telephone_number": "501-743-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Main St",
            "address_purpose": "LOCATION",
            "city": "Summerton",
            "state": "SC",
            "postal_code": "291486904",
            "country_code": "US",
            "telephone_number": "803-488-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONKOFSKY",
        "first_name": "ASHLEY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "160654",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "8951152-4102",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "9199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.