Individual provider Active NPI

Laura Bonnici, PT,DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1629873039
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06973 Issued in KS
Practice address
12213 Goodman St
Overland Park, KS 66213-1273
Phone
(586) 329-8971
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023031909 MO
Physical Therapist 225100000X 11-06973 KS Primary

Addresses

Primary practice location

12213 Goodman St
Overland Park, KS 66213-1273

Mailing address

13150 Hadley St Apt 1927
Overland Park, KS 66213-5158
Phone (586) 329-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06973KSMDPhysical Therapist
2023031909MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1629873039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13150 HADLEY ST APT 1927",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662135158",
            "telephone_number": "586-329-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 GOODMAN ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131273",
            "telephone_number": "586-329-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNICI",
        "first_name": "LAURA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023031909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.