Julie Tessler Bonamo, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5228 Issued in FL

Practice address

3635 S Clyde Morris Blvd
St. 300
Port Orange, FL 32129-2300

Phone

(386) 258-8080

Fax

(386) 258-8177

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daytona Beach Hand Clinic, IncGroup PAC ID 9032148499, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Daytona Beach Hand Clinic Inc

  • Occupational Therapist
  • Port Orange, FL
  • NPI 1952420457
  Medicare reassignment Care Compare group NPD
• Daytona Beach Hand Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Orange, FL
  • NPI 1740494210
  NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1699789925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "ST. 300",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-258-8080",
            "fax_number": "386-258-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "ST. 300",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-258-8080",
            "fax_number": "386-258-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMO",
        "first_name": "JULIE",
        "middle_name": "TESSLER",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5228",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT5228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892520800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Z7064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Boggs, LCSW
• Lindsey Bolte, DC
• Tyler Bolvin, RBT
• Alicia Bommarito
• Jenna Rose Bonaccorso, DO
• Amanda Rudd Bonnell
• Brenda Bookspan
• Samantha Boolman
• Hannah Elayna Bornamann, ATC
• Carrie Bose

• Occupational Therapist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.