Emily Renae Bondarenko

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT300729 Issued in CA

Practice address

6833 Fallbrook Ave
West Hills, CA 91307-2511

Phone

(877) 550-7804

NPI assigned

Sep 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Emily Renae Massey Former name

Medicare fee-for-service enrollment

Enrolled in CA, MN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Onr National Speech Pathology IncGroup PAC ID 2668463522, 61 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 and National Provider Directory roles.

• Onr National Speech Pathology Inc

  • Rehabilitation Clinic/Center
  • Kensington, MD
  • NPI 1972965952

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopaedic and Neurological Rehab Inc

  • Rehabilitation Clinic/Center
  • Billings, MT
  • NPI 1225496540

  CA, Physical Therapist

  Medicare reassignment NPD
• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1821766643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11471 TAMPA AVE UNIT 151",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261783",
            "telephone_number": "605-760-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 FALLBROOK AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072511",
            "telephone_number": "877-550-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDARENKO",
        "first_name": "EMILY",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MASSEY",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blair S Kranson M D Inc
• Bloom Home Health Care Inc
• Robert L Blum, M.D.
• Betty Nyantakyiwaah Boateng, RN
• Susan Boehl, PT, DPT
• Korosh Borhani, D.O.
• Devin Francois Borna, D.O.
• Bradford Restorative Behavioral Innovations Corp.
• Sheryl Braunstein, MFT
• Breathalife LLC

• Physical Therapist in West Hills, CA
• Providers in West Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.