Active NPI
Kathy Bonacini, DPT
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1801345996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15642
- Practice address
- 1500 Owens St
Suite 400
San Francisco, CA 94158-2334 - Phone
- (415) 353-7598
- Fax
- (415) 353-9554
- NPI assigned
- Sep 29, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15642 | CA | Primary |
Addresses
Primary practice location
1500 Owens St
Suite 400
San Francisco, CA 94158-2334
Mailing address
40 San Rafael Way
San Francisco, CA 94127-1949
Phone (415) 533-6991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15642 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1801345996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SAN RAFAEL WAY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271949",
"telephone_number": "415-533-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OWENS ST",
"address_2": "SUITE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582334",
"telephone_number": "415-353-7598",
"fax_number": "415-353-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONACINI",
"first_name": "KATHY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.