Kathy J. Bonesho, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2194-26 Issued in WI

Practice address

N79W14749 Appleton Ave
Suite C
Menomonee Falls, WI 53051-4375

Phone

(262) 253-3750

Fax

(262) 253-3776

NPI assigned

May 15, 2007

Last updated

Oct 24, 2011By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Maplewood Physical Therapy Limited Partnership

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1700180387
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1528274826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N79W14749 APPLETON AVE",
            "address_2": "SUITE C",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514375",
            "telephone_number": "262-253-3750",
            "fax_number": "262-253-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N79W14749 APPLETON AVE",
            "address_2": "SUITE C",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514375",
            "telephone_number": "262-253-3750",
            "fax_number": "262-253-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONESHO",
        "first_name": "KATHY",
        "middle_name": "J.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2194-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40792100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Edward Blonien, D.O.
• Todd Boffeli, M.D.
• Lauren Marie Boldt, OTR
• Michelle Marie Bollig, OTR
• Leslie Ann Bombaci, P.T.
• Suzannah Bong, PA
• Jamie Bonoris
• Joseph B Book Book
• Michael Anthony Borkowski, M.D.
• Melissa Born

• Occupational Therapist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.