Katlyn Bonnell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05016102A Issued in IN

Practice address

12636 Wicker Ave
Cedar Lake, IN 46303-9589

Phone

(219) 801-7777

Fax

(219) 801-7677

NPI assigned

Sep 12, 2025

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiopoint TherapyGroup PAC ID 2961626833, 8 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.

• Physiopoint Therapy

  • Physical Therapy Clinic/Center
  • Crown Point, IN
  • NPI 1508279092

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hospice of America, Inc

  • Clinic/Center
  • Crown Point, IN
  • NPI 1184281214
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1831060094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 WICKER AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039589",
            "telephone_number": "219-801-7777",
            "fax_number": "219-801-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 45th St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222388",
            "country_code": "US",
            "telephone_number": "219-801-7777 x1",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Morthland Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463854638",
            "country_code": "US",
            "telephone_number": "219-801-7777 x1",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 E Summit St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463072768",
            "country_code": "US",
            "telephone_number": "219-801-7777 x1",
            "fax_number": "219-801-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "KATLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Berg, MS CCC-SLP
• Julie S. Blackburn, LCPC
• Derek Blagojevic, LCSW
• Jennifer Blane, CCC-SLP
• Sandra Lee Bohlman, PTA
• Diane Botma, COTA
• Laurie Brown
• Bernadette Bryant, COTA/L
• Sabrina Caparelli, DPT
• James Edward Carlson, D.O.

• Physical Therapist in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.