Idler Bonhomme, LMT MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21887 Issued in FL

Practice address

6388 Silver Star Rd Ste 1E
Orlando, FL 32818-3235

Phone

(321) 369-9133

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Plus IncGroup PAC ID 7214938687, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.49 of 100Reported as group

Quality

80

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Physiotherapy Plus Inc

  • Physical Therapist
  • Orlando, FL
  • NPI 1508817537
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1427008556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680735",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328680735",
            "telephone_number": "321-369-9133",
            "fax_number": "888-696-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD STE 1E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183235",
            "telephone_number": "321-369-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1491 Sheafe Ave NE",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329057658",
            "country_code": "US",
            "telephone_number": "321-956-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONHOMME",
        "first_name": "IDLER",
        "credential": "LMT MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA32752",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891208400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raphael Bones
• Elizabeth Bonet, CNM
• Martha Maria Bonett, APRN
• Cori-Anne Bonfilio
• Joseph Michael Bongiorno II, DMD
• Marguerite Bonhomme, DMD
• Nicole Marie Bonilla Jimenez, MSN
• Ana L Bonilla
• Beverly I Bonilla, PT
• Margarita Fernandez Bonilla

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.