Bonnie Leigh Kwasnik, PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11325 Issued in SC

Practice address

1127 Queensborough Blvd Ste 104
Mt Pleasant, SC 29464-5431

Phone

(843) 216-0290

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

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

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1689313223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DANIEL ELLIS DR APT 6204",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123054",
            "telephone_number": "609-558-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 QUEENSBOROUGH BLVD STE 104",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645431",
            "telephone_number": "843-216-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIK",
        "first_name": "BONNIE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "11325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis John Kubinski
• Onna Kuisel, RN
• Paul Kukes, D.C.
• Krista Michelle Kunz, D.M.D.
• Edward Alex Kusek, DDS
• Arthur Christopher Lacour II, M.A.,
• Rebecca Ellen Lafar, RPH
• Shannon Laing, P.T.
• Rachel Renae Lake, OTR/L
• Renee Anne Lake, PH.D.

• Physical Therapy Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.