Kimberly H Bonenberger, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001788 Issued in WV

Practice address

943 Maple Dr
Morgantown, WV 26505-2812

Phone

(304) 599-2515

Fax

(304) 285-3738

NPI assigned

Jun 12, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Morgantown Physical Therapy Associates, Inc.

  • Physical Therapist
  • Morgantown, WV
  • NPI 1437191756
  NPD (past)
• Morgantown Physical Therapy Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Morgantown, WV
  • NPI 1922486026
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1699717082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052812",
            "telephone_number": "304-599-2515",
            "fax_number": "304-285-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052812",
            "telephone_number": "304-599-2515",
            "fax_number": "304-285-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONENBERGER",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302284000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Bonasso, LPC
• Patrick Corkrean Bonasso II
• Susan Bonasso, RN, IBCLC
• Alexis Bonatch, PA-C
• Jonathan Albert Bond, D.O.
• Holly Bonnell, PA-C
• Lisa M Bonnell
• Tiffani Bonnell
• Bonnie Bus - Wvu
• Laura Bonsall, MPH

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.