Jessica Marie Bonnett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4052-19 Issued in WI

Practice address

N7135 Rocky Knoll Pkwy
Plymouth, WI 53073-3103

Phone

(920) 893-6441

NPI assigned

Apr 21, 2023

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

Other names 1

• Jessica Marie Corbett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1649967332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N 27TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7135 ROCKY KNOLL PKWY",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530733103",
            "telephone_number": "920-893-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "4052-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CORBETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Joseph Baus, PT
• Rieck Albert Beiersdorf, D.D.S.
• Nicholas Brandon Bier, DPT, LAT
• Christopher J Bierman, PT
• Katelyn R Bolden, PT
• Jodi Lynn Brienen, L.P.N
• Gina Budjak, DC
• Tina Michelle Burtard, M.S., OTR/L
• Sharon L Bush, D.C.
• Heidi Ann Butler, MSW, LCSW, CSAC

• Physical Therapy Assistant in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.