Stephanie Bonner

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0027415 Issued in CO

Practice address

502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697

Phone

(719) 473-2958

NPI assigned

Aug 1, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Total Function Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1902571490

  Single Specialty

  NPD
• Total Function Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1568532711

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1831073972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 JOSEPH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E PIKES PEAK AVE STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033697",
            "telephone_number": "719-473-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0027415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Bonnelycke
• Andrew Bonner
• Carole Elaine Bonner
• Dori Bonner, LPCC
• Sarita C Bonner
• Jackie Bonneville
• Janice M Bonney, PT
• Dominique Ann Bonnin
• Amanda Nicole Bonnot, LPC
• Thomas Dale Bono

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.