Individual provider Active NPI

Bonnie Lee McGee, PT, OCS, ATC

  • Specialist
  • Gig Harbor, WA
National Provider Identifier
1467460683
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT00007023 Issued in WA
Practice address
11430 51St Ave NW
Suite 101B
Gig Harbor, WA 98332-7897
Phone
(253) 858-8555
Fax
(253) 858-8560
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT00007023 WA Primary

Addresses

Primary practice location

11430 51St Ave NW
Suite 101B
Gig Harbor, WA 98332-7897

Mailing address

11430 51St Ave NW
Suite 101B
Gig Harbor, WA 98332-7897
Phone (253) 858-8555

Other identifiers 2

IdentifierTypeStateIssuer
8367492MedicaidWA
0201460OtherWALABOR AND INDUSTRIES

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007023WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Harbor Physical Therapy, LLC Specialist PastSince Oct 1, 2005 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1467460683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 51ST AVE NW",
            "address_2": "SUITE 101B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327897",
            "telephone_number": "253-858-8555",
            "fax_number": "253-858-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 51ST AVE NW",
            "address_2": "SUITE 101B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327897",
            "telephone_number": "253-858-8555",
            "fax_number": "253-858-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00007023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8367492",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0201460",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.