NPIMap

Organization Active NPI

Bonnette Elite Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1891141362
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS
Practice address
9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465
Phone
(817) 862-9665
Fax
(817) 862-9667
NPI assigned
May 13, 2016
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Alex J Bonnette, P.T.NPI 1366854267
Title
Owner
Phone
(817) 862-9665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465

Mailing address

9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465
Phone (817) 862-9665

Other practice location 1

6049 S Hulen St Ste 113
Ft Worth, TX 76132-4815
Phone (817) 865-0668

Other practice location 2

6830 Harris Parkway
Suite 120
Ft Worth, TX 76132
Phone (817) 779-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609001640 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759671399 Receives reassigned benefits from 18 practitioners
Practice locations: Fort Worth, TX; Ft Worth, TX

National Provider Directory

National Provider Directory

Locations

6930 Harris Pkwy
Ste 120
Fort Worth, TX 76132
Phone (817) 779-1822

6049 S Hulen St
Ste 113
Ft Worth, TX 76132
Phone (817) 865-0668

9660 Bartlett Cir
Ste 708
Ft Worth, TX 76108
Phone (817) 862-9665

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1891141362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 708",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-862-9665",
            "fax_number": "817-862-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 708",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-862-9665",
            "fax_number": "817-862-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6049 S Hulen St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761324815",
            "country_code": "US",
            "telephone_number": "817-865-0668",
            "fax_number": "817-887-5875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6830 Harris Parkway",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "76132",
            "country_code": "US",
            "telephone_number": "817-779-1822",
            "fax_number": "817-977-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONNETTE ELITE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BONNETTE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-862-9665",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.