Bonnie Rae Cummings, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002272A Issued in IN

Practice address

3211 E Moores Pike
Bloomington, IN 47401-7129

Phone

(812) 334-7604

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By 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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Kokomo, IN
  • NPI 1518069913
  NPD (past)
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1619477114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N FOREST VIEW DR N",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474291082",
            "telephone_number": "765-212-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 E MOORES PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017129",
            "telephone_number": "812-334-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "BONNIE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Crusenberry, WHNP
• CS Dental LLC
• Duangnapa S. Cuddy, D.O.
• Kate Bodack Cullison, PHD
• Ashleigh Hope Cummings, OTR
• Christopher Michael Cummings, D.D.S.
• Kristin Cummings, LMHC, NCC
• Cerina Marie Cunningham, NP
• Megan Leanne Curran, DO
• Samantha Curry

• Physical Therapy Assistant in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.