Lauren Ashley Bonasso, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1489 Issued in WV

Practice address

140 Carriage Club Dr
Mooresville, NC 28117-9284

Phone

(704) 658-1200

NPI assigned

Jul 28, 2010

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 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

West Virginia University School of Medicine, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Therapy Services, LLCGroup PAC ID 1052318508, 22 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Services, LLC

  • Speech-Language Pathologist
  • Morgantown, WV
  • NPI 1346347804

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1770897159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR",
            "address_2": "STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CARRIAGE CLUB DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179284",
            "telephone_number": "704-658-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONASSO",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1489",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4005078000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert M Bodajla
• Rosario Walter Bogart, CRNA
• Laura Wang Boger, MD
• Nikki Bolick
• Diane Bradford Bolster, MSW, LCSWA
• Danielle Bonnevie, M.ED., BCBA
• Shawn Booth, LCMHC
• Jennifer Borst
• Matthew Joseph Boss, MD
• Mary Caitlin Rebecca Bostick, RN, BSN

• Occupational Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.