Laurie Boenning, PT, MA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA04593 Issued in NJ

Practice address

2417 Bridge Ave
Point Pleasant Boro, NJ 08742-4334

Phone

(732) 701-9320

Fax

(732) 701-9321

NPI assigned

May 26, 2006

Last updated

Mar 18, 2011By 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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment NPD
• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy Works, LLC

  • Physical Therapist
  • Point Pleasant Boro, NJ
  • NPI 1164436036
  Authorized official Same address or phone
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1801842166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 BRIDGE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424334",
            "telephone_number": "732-701-9320",
            "fax_number": "732-701-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 BRIDGE AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424334",
            "telephone_number": "732-701-9320",
            "fax_number": "732-701-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENNING",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "PT, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA04593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaver Dam Healthcare LLC (Interim HealthCare of Northern Ocean County)
• Amy Bergquist
• Danielle Bersch, PHARM.D
• Emily A Bessemer, PT, DPT
• Jay Robert Bloom, DDS
• Bozza Dental Group, P.a.
• Leonora Theresa Bradley, MS, OTR, CIMI
• Bridge Integrative Health LLC
• Gina M Brigandi
• Bright Side of the Moon LLC

• Physical Therapist in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.