NPIMap

Elizabeth Blaine Bonorden, OTR/L

Individual provider Active NPI Occupational Therapist · Vinton, IA

NPI 1497200216 · NPPES record last updated Aug 22, 2016

Key facts

NPI
1497200216
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
084197 (IA)
Practice address
502 N 9TH Ave
Vinton, IA 52349-2254
Phone
(319) 472-6200
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
084197IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapies of Texas, PLLC Current
since May 1, 2022		 Accepting new patients

Locations

1521 E Business 190
Copperas Cove, TX 76522
Phone (512) 256-7627

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 084197 IA Yes

Addresses

Primary practice location

502 N 9TH Ave
Vinton, IA 52349-2254

Mailing address

2909 Bever Ave SE
Cedar Rapids, IA 52403-3026
Phone (361) 523-9566

Other providers in Vinton, IA

All providers in Vinton, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.