Bonnie K Kimmelman, MED, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NH0450 Issued in NH

Practice address

33 Morgan Dr
Lebanon, NH 03766-1408

Phone

(603) 643-7788

Fax

(603) 643-0022

NPI assigned

Feb 28, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Bonnie P. Sussman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cioffredi & Associates Physical Therapy, LLC

  • Physical Therapist
  • Lebanon, NH
  • NPI 1821298126
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1760519417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "address_2": "33 MORGAN DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037660727",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MORGAN DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661408",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "BONNIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MED, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "NH0450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009398",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE5196",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "SUSSMAN",
            "middle_name": "P.",
            "prefix": "MS.",
            "credential": "MED, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Kim
• Julie Kim, M.D., PH.D.
• Sijun Kim, D.O.
• Ethan Kimball, PA-C
• Kimberly Knowlton-Young, Licsw Inc. (Kimberly Knowlton-Young, LICSW)
• Elizabeth Anne Kimtis, APRN
• Amanda J King, APRN
• Amber Loren Ong King, MD
• Jason Alexander King
• Kirsten King, ARNP

• Physical Therapist in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.