Individual provider Active NPI

Serephine Bonnell, CMT

  • Massage Therapist
  • Laramie, WY
National Provider Identifier
1659904290
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
807 S 3Rd St
Laramie, WY 82070-4419
Phone
(307) 742-6840
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

807 S 3Rd St
Laramie, WY 82070-4419

Mailing address

715 Downey St Apt 3C
Laramie, WY 82072-1773
Phone (719) 251-6135

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address accc807@bresnan.net Darren Bressler D.C., P.C.

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics of Steamboat Springs PC CurrentSince Nov 1, 2024 Accepting new patients
Darren Bressler D.C., P.C. PastSince Feb 23, 2020 Accepting new patients

Locations

807 S 3rd St
Laramie, WY 82070
Phone (307) 742-6840

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659904290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DOWNEY ST APT 3C",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820721773",
            "telephone_number": "719-251-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704419",
            "telephone_number": "307-742-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "SEREPHINE",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "accc807@bresnan.net",
            "affiliation": "Y",
            "affiliationName": "Darren Bressler D.C., P.C.",
            "address_1": "807 S 3rd St",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820704419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.