Elizabeth Blaine Bonorden, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

084197 Issued in IA

Practice address

502 N 9TH Ave
Vinton, IA 52349-2254

Phone

(319) 472-6200

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Therapies of Texas, PLLC

  • Multi-Specialty Clinic/Center
  • Copperas Cove, TX
  • NPI 1164009254
  NPD

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1497200216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BEVER AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033026",
            "telephone_number": "361-523-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254",
            "telephone_number": "319-472-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONORDEN",
        "first_name": "ELIZABETH",
        "middle_name": "BLAINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "084197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn David Beilby, O.D.
• Benton County Public Health
• Benton County Transportation
• Betterton Family Chiropractic, P.C.
• Matthew John Betterton, DC
• Julie Ann Burrichter, PTA
• Jeffrey M Cater, PAC
• Cedar Valley Medical Specialists PC
• Cedar Valley Ranch
• Raemi Jo Chavez, PHARMD, MPH

• Occupational Therapist in Vinton, IA
• Providers in Vinton, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.