Autumn Bonner, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Madison, WI
NPI 1609224989 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1609224989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 13401-24 (WI)
- Practice address
- 305 S Livingston St
Madison, WI 53703-3513 - Phone
- (608) 250-1775
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13401-24 | WI | Yes |
Addresses
Primary practice location
305 S Livingston St
Madison, WI 53703-3513
Mailing address
1326 1/2 Vilas Ave
Madison, WI 53715-1552
Other providers in Madison, WI
- Erik Bonifas
- Alexis Bonilla
- Bethe E. Bonk
- Nicole A Bonk
- Jane K Bonlender
- Kelsey C Bonney
- John David Bonsett-Veal
- Jack Scott Bontekoe
- Kathryn Denise Boomer
- Megan Lee Boone
All providers in Madison, WI · Orthopedic Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.