Individual provider Active NPI

Bonnie Lynn Engellau, MS, OT/L

  • Occupational Therapist
  • Greensboro, NC
National Provider Identifier
1750574265
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4460 Issued in NC
Practice address
714 Green Valley Rd
Greensboro, NC 27408-7018
Phone
(336) 370-8100
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4460 NC Primary

Addresses

Primary practice location

714 Green Valley Rd
Greensboro, NC 27408-7018

Mailing address

602 Grasswren Way
Greensboro, NC 27409-9143
Phone (336) 337-7694

Other names 1

  • Ms. Bonnie Lynn Nadelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4460NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1750574265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 GRASSWREN WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099143",
            "telephone_number": "336-337-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GREEN VALLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087018",
            "telephone_number": "336-370-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELLAU",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "NADELSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MS, OT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.