Bethany Laurel Bondura, MSOTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010535 Issued in PA

Practice address

305 Cherry St
Philadelphia, PA 19106-1803

Phone

(800) 974-6383

NPI assigned

Oct 28, 2008

Last updated

Feb 15, 2019By the provider in NPPES

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

Other names 1

• Bethany Laurel McCullough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1477706927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SUNSET DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180524126",
            "telephone_number": "484-866-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHERRY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061803",
            "telephone_number": "800-974-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDURA",
        "first_name": "BETHANY",
        "middle_name": "LAUREL",
        "credential": "MSOTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "MCCULLOUGH",
            "middle_name": "LAUREL",
            "credential": "MSOTR/L, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward E Bondi, MD
• Bonding Families Home Care LLC
• Anna Bondonese, MD
• Nicholas Bondra, DDS
• Frances Bonds-White, ED.D
• Amanda Bone, FNP-BC
• Bonel Medical Equipment Inc
• Julia Marie Bonelli, CRNA
• Michael Bonelli, CRNA
• Bones Fitness Partnerships

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.