Active NPI
Bonnie Yesian Muehlendorf
- Physical Therapist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1153368
- Practice address
- 3415 Williams Dr Ste 145
Georgetown, TX 78628-2886 - Phone
- (512) 887-4544
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH8592 | AL | |
| Physical Therapist | 225100000X | 1153368 | TX | Primary |
Addresses
Primary practice location
3415 Williams Dr Ste 145
Georgetown, TX 78628-2886
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Other names 1
- Bonnie Patricia Yesian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3415 Williams Dr
Suite 145 Georgetown Physical Therapy
Georgetown, TX 78628-2886
Phone (512) 887-4544
6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546
896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10509 | SC | MD | General Practice Dentistry |
| 1153368 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ledesma Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
7010 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 401-0443
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Organizations & group practices 6
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.
-
- Physical Therapist
- Austin, TX
- NPI 1760506232
-
- Physical Therapist
- Savannah, GA
- NPI 1306157896
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1609025048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 WILLIAMS DR STE 145",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282886",
"telephone_number": "512-887-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUEHLENDORF",
"first_name": "BONNIE",
"middle_name": "YESIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH8592",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1153368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "YESIAN",
"middle_name": "PATRICIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.