Individual provider Active NPI

Timothy Ivan Bondy, PT

  • Orthopedic Physical Therapist
  • Petoskey, MI
National Provider Identifier
1578896700
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501001455 Issued in MI
Practice address
1333 Spring St
Petoskey, MI 49770-8720
Phone
(231) 487-4638
Fax
(231) 487-4615
NPI assigned
Sep 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501001455 MI Primary

Addresses

Primary practice location

1333 Spring St
Petoskey, MI 49770-8720

Mailing address

339 Sunset Rd
Petoskey, MI 49770-9259
Phone (231) 487-4638

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy I Bondy Inc Orthopedic Current Accepting new patients

Locations

1333 Spring St
Petoskey, MI 49770
Phone (231) 347-6636

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.

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1578896700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SUNSET RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709259",
            "telephone_number": "231-487-4638",
            "fax_number": "231-487-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708720",
            "telephone_number": "231-487-4638",
            "fax_number": "231-487-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDY",
        "first_name": "TIMOTHY",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.