Individual provider Active NPI

Daniel Mark Bonaroti, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1740367978
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6092 Issued in AZ
Practice address
5017 E Washington St Ste 101
Phoenix, AZ 85034-2033
Phone
(602) 277-1073
Fax
(602) 277-1016
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6092 AZ Primary

Addresses

Primary practice location

5017 E Washington St Ste 101
Phoenix, AZ 85034-2033

Mailing address

5017 E Washington St Ste 107
Phoenix, AZ 85034-2033
Phone (602) 277-1073

Other identifiers 1

IdentifierTypeStateIssuer
388246MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305001127 AZ Practitioner - Physical Therapist in Private Practice 8426946062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic Therapy Specialists LLCGroup PAC ID 8921100082, 5 clinicians

Practice addresses (Care Compare)

5017 E Washington St
Phoenix, AZ 85034-2033
Phone (602) 277-1073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6092AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologic Therapy Specialists LLC Physical Therapist CurrentSince Jun 1, 2005 Accepting new patients
Neuro Institute, Inc Past Accepting new patients
Wing Neurological Rehabilitation Physical Therapist Past Accepting new patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist PastSince Aug 7, 2014 Accepting new patients

Locations

1190 E Missouri Ave
Ste 100
Phoenix, AZ 85014
Phone (602) 393-0520

5055 E Washington St
Ste 125
Phoenix, AZ 85034
Phone (602) 277-1073

5017 E Washington St
Ste 107
Phoenix, AZ 85034
Phone (480) 565-2276

5017 E Washington St
Ste 107A
Phoenix, AZ 85034
Phone (602) 277-1073

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1740367978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 E WASHINGTON ST STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342033",
            "telephone_number": "602-277-1073",
            "fax_number": "602-277-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 E WASHINGTON ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342033",
            "telephone_number": "602-277-1073",
            "fax_number": "602-277-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAROTI",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.