Kathleen Bonner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00502400 Issued in NJ

Practice address

3860 Bayshore Rd Ste F
North Cape May, NJ 08204-3267

Phone

(609) 770-7804

NPI assigned

May 11, 2017

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cape Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cape May Court House, NJ
  • NPI 1144584947

  NJ, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1649706409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HOFFMAN CANAL AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082602820",
            "telephone_number": "609-408-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BAYSHORE RD STE F",
            "city": "NORTH CAPE MAY",
            "state": "NJ",
            "postal_code": "082043267",
            "telephone_number": "609-770-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00502400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Rose Alven, PTA
• Ameriwound Physicians NJ LLC
• Mia Rose Antolini, DPT
• Ashley Badders
• Justin Bivona, PHARMD, RPH
• Kerrie Brady, PHARMACIST
• Nicholas T. Bratis, LCSW
• Fernando Carlos Colon, OTR/L
• Complete Care at Victoria Commons LLC
• Lindsey T Delollis, APN

• All providers in North Cape May, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.