Mary Jo Bonczek, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC008845 Issued in PA

Practice address

2080 N Township Blvd
Pittston, PA 18640-3547

Phone

(570) 883-5700

NPI assigned

Mar 30, 2012

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

Credentials

Master of Science

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1619243961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 N TOWNSHIP BLVD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N TOWNSHIP BLVD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403547",
            "telephone_number": "570-883-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCZEK",
        "first_name": "MARY JO",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leea Berrios, PTA
• Crystal Best
• Stephanie Marie Best
• Teagan Bigelow, PHARM.D
• Bio-Medical Applications of Pennsylvania, Inc.
• Gail Boylan
• Kristen Ann Boyle
• James Patrick Bozzuto, O.D.
• Stephen Braun, D.O.
• Rebecca Lauren Lepovsky Braunsdorf, OD

• Occupational Therapist in Pittston, PA
• Providers in Pittston, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.