Bonnie Jean Warren, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501010516 Issued in MI

Practice address

515 E Division St
Rockford, MI 49341-1377

Phone

(616) 863-3133

NPI assigned

Mar 7, 2018

Last updated

Jun 16, 2018By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1801398623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 RAMSDELL DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419009",
            "telephone_number": "317-408-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411377",
            "telephone_number": "616-863-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501010516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5501010516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Vogelzang
• Scarlett Waite, ATC
• Lori Lynn Walenga, DC
• Derrick James Walker, DMD
• Janay Ann Warner, PA-C
• Sara Wassenaar
• Melissa Weber, DPT
• Daniel F. Wesche, M.ED., LPC
• West Michigan Chiropractic Center, PLC
• West Michigan Community-Based Rehabilitation LLC

• Orthopedic Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.