Active NPI
Dana Renee Bongiorno
- Occupational Therapist
- Harper Woods, MI
National Provider Identifier
1780834978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 52001005048
- Practice address
- 19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467 - Phone
- (313) 884-8920
- NPI assigned
- Sep 24, 2008
- Last updated
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 52001005048 | MI | Primary |
Addresses
Primary practice location
19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467
Mailing address
19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467
Phone (313) 884-8920
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52001005048 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HC Rehab Solutions LLC | Occupational Therapist | Past | Accepting new patients |
| In Home Rehab,LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Plymouth, MI
- NPI 1417995986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1780834978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19701 VERNIER RD",
"address_2": "SUITE 280",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251467",
"telephone_number": "313-884-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 VERNIER RD",
"address_2": "SUITE 280",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251467",
"telephone_number": "313-884-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGIORNO",
"first_name": "DANA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "52001005048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harper Woods, MI
- Keith Maurice Binion, M.ED., CPHT, CCHW
- Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care of St. Clair Shores)
- Joshua Bishop
- Tyshaun Bland, B.S; M.A
- Blessed Care (Blessed Care Nurse Staffing)
- Carol Borowski, AGPCNP-BC
- Ashley Lynette Bowden, FNP-BC
- Angela Bozell
- Jeffrey Brooks
- Mary Kraft Brooks, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.