Gregory Todd Bonds, PT
Individual provider Active NPI Physical Therapist · Daphne, AL
NPI 1447508239 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1447508239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6604 (AL)
- Practice address
- 1505 Daphne Ave
Daphne, AL 36526-4298 - Phone
- (251) 625-2663
- Fax
- (251) 625-3198
- NPI assigned
- Aug 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Alabama School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Bone and Joint P C
Practice addresses (Care Compare)
1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121119000258 | AL | Practitioner - Physical Therapist in Private Practice | 2668623703 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6604 | AL | MD | Physical Therapist |
| 23239 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Occupational Medicine and Pain Management, P.C. | Physical Therapist | Current |
Accepting new patients |
| Baldwin Bone & Joint P C | Current |
Accepting new patients | |
| Bishop Physical Therapy LLC | Current |
Accepting new patients | |
| Baldwin Bone & Joint P C | Past | Accepting new patients |
Locations
1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663
1203 US Highway 98
Ste 1C
Daphne, AL 36526
Phone (251) 621-1021
1430 N McKenzie St
Foley, AL 36535
Phone (251) 621-4700
915 W Laurel Ave
Foley, AL 36535
Phone (251) 286-9990
10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23239 | FL | |
| Physical Therapist | 225100000X | 6604 | AL | Yes |
Addresses
Primary practice location
1505 Daphne Ave
Daphne, AL 36526-4298
Mailing address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604 | Other | AL | LICENSE |
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.