Mackenzie Bonyak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC020172 Issued in PA

Practice address

2400 Kingston CT
York, PA 17402-3650

Phone

(717) 755-8811

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Mennonite Home

  • Physical Therapy Clinic/Center
  • Lancaster, PA
  • NPI 1093053910
  Medicare reassignment NPD

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1427875087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 4TH ST",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332409",
            "telephone_number": "607-481-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 KINGSTON CT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023650",
            "telephone_number": "717-755-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONYAK",
        "first_name": "MACKENZIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Bonello, CRNA
• Elizabeth C Bongiovanni, CRNP
• Lauren Ashley Bonitz, PHARMD
• Kathleen Therese Bonnici, LPC
• Jason S Bonslaver, MD
• Morgan Bookamer
• Laura Lynn Boord, M.A
• Jessica L Boore, RDH
• Anca Borcan
• A. Michael Borkon, MD

• Occupational Therapist in York, PA
• Providers in York, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.