Autumn Bonner, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

13401-24 Issued in WI

Practice address

305 S Livingston St
Madison, WI 53703-3513

Phone

(608) 250-1775

NPI assigned

May 27, 2016

Last updated

May 27, 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

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1609224989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 1/2 VILAS AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S LIVINGSTON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033513",
            "telephone_number": "608-250-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "AUTUMN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "13401-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Bonifas, PA C
• Alexis Bonilla
• Bethe E. Bonk, LPC
• Nicole A Bonk, MD
• Jane K Bonlender, LPC
• Kelsey C Bonney
• John David Bonsett-Veal, O.D.
• Jack Scott Bontekoe
• Kathryn Denise Boomer, PA-C
• Megan Lee Boone

• Orthopedic Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.