Kelly Bonde

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

12211 Issued in MN

Practice address

1116 6TH St
Howard Lake, MN 55349-5676

Phone

(320) 543-1104

NPI assigned

Jul 30, 2021

Last updated

Jul 20, 2022By the provider in NPPES

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 MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Pain Physicians PAGroup PAC ID 2466606264, 42 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interventional Spine and Pain Physicians, PA

  • Specialist
  • Maple Grove, MN
  • NPI 1326398561
  Medicare reassignment Care Compare group NPD
• Stellar Health Care

  dba Phenomenal Rehabilitation

  • Physical Therapy Clinic/Center
  • Howard Lake, MN
  • NPI 1174556682
  Medicare reassignment NPD
• Anesthesia Associates, PLLC

  • Specialist
  • Maple Grove, MN
  • NPI 1104176205
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1851064257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N",
            "address_2": "STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692684",
            "telephone_number": "952-938-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 6TH ST",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553495676",
            "telephone_number": "320-543-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "12211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise M Arlien, CNP
• Marcia Lynne Boll, CNP
• Craig Butturff, MSPT
• Jennifer Leigh Butturff, D.C.
• James E. Carrabre, MD
• City of Howard Lake (Howard Lake Ambulance Service)
• Community Asset Foundation, LLC (The Lodge of Howard Lake)

• Orthopedic Physical Therapist in Howard Lake, MN
• Providers in Howard Lake, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.