Tina R Bonavita, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL16090 Issued in MA

Practice address

95 Frank B Murray St
Springfield, MA 01103-1106

Phone

(413) 301-6019

Fax

(413) 363-2857

NPI assigned

Apr 16, 2026

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 names 1

• Tina Rene Bousquet Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovative Physician Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1922096049
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1700720034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WOODSLEY RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062517",
            "telephone_number": "413-530-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FRANK B MURRAY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031106",
            "telephone_number": "413-301-6019",
            "fax_number": "413-363-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVITA",
        "first_name": "TINA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "PTL16090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BOUSQUET",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pratyusha Bollimunta, MD
• Jennifer Bolton, DO
• Franca Mary Bonavita, CEIS
• Katherine Ann Bonavita, LMHC
• Madison Bonavita, PA-C
• Christopher M Bonci, PA-C
• Rima Bonemery
• Jacqueline Marie Bonet
• Jessenia Li Bonet, RN
• Charlotte M Boney, MD

• Physical Medicine & Rehabilitation Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.