Karen Elaine Bonneau, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22618 Issued in FL

Practice address

3920 Rosewood Way
Orlando, FL 32808-1033

Phone

(407) 298-9335

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1447518725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 OLIVE BRANCH RD",
            "address_2": "APT 1308",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ROSEWOOD WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081033",
            "telephone_number": "407-298-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEAU",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana L Bonilla
• Beverly I Bonilla, PT
• Margarita Fernandez Bonilla
• Mariana Bonilla
• Nathan Alexander Bonilla
• Briana Bonner, MSW
• Nicole Marie Bonnier, C.O.T.A.
• Rebecca Bonny
• Sika Akua Bonsu
• Jennifer Bontrager

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.