Carol Lancaster Bonella, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2420 Issued in WV

Practice address

1 Diane Dr
Fort Ashby, WV 26719

Phone

(304) 298-3602

NPI assigned

Dec 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carol Lynn Lancaster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1578809299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 BRANDYWINE DR SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025817",
            "telephone_number": "301-729-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIANE DR",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "26719",
            "telephone_number": "304-298-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLA",
        "first_name": "CAROL",
        "middle_name": "LANCASTER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14785",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "LANCASTER",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• American Respiratory Services
• Sarah Appel, M.S. CCC-SLP
• Rebekah Lynn Aranda, PT
• Crystal Dawn Arbaugh
• Bedford Road Pharmacy, Inc (The Medicine Shoppe of Fort Ashby)
• Tyler Bordick
• Braddock Medical Group P.a.
• Justin Tyler Combs, MSN, APRN, FNP-C
• Complete Care at Dawnview LLC
• Complete Care at Dawnview LLC

• Physical Therapist in Fort Ashby, WV
• Providers in Fort Ashby, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.