Jonathan Mathew Paul Bonnett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1416172 Issued in KS

Practice address

6565 Foxridge Dr Apt 1051
Mission, KS 66202-1393

Phone

(913) 605-2528

Fax

(913) 605-2528

NPI assigned

Jul 28, 2017

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1669996864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 BROADMOOR ST APT 127",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021462",
            "telephone_number": "913-605-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FOXRIDGE DR APT 1051",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021393",
            "telephone_number": "913-605-2528",
            "fax_number": "913-605-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "JONATHAN",
        "middle_name": "MATHEW PAUL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KS",
            "license": "197780",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1416172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE AIDE REGISTRY",
            "identifier": "197780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bickford at Mission Springs Opco II, L.L.C.
• Lauren Bishop, LMSW
• Judith L Blamberg, LSCSW
• Danna M Boehm, RN
• Andrew S. Bonci, D.C.
• Madeline Borden, M.A. SLP
• Jordan Boux
• Raunyai Bowren
• Kris Boyle, LSCSW
• Braincare, LLC (Global Neuro-Diagnostics)

• Physical Therapy Assistant in Mission, KS
• Providers in Mission, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.