Active NPI
Theresa Ann Bonnette, L.M.T.
- Massage Therapist
- Mansfield, OH
National Provider Identifier
1891972683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.014751
- Practice address
- 812 Park Avenue East
Mansfield, OH 44905 - Phone
- (419) 747-9355
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.014751 | OH | Primary |
Addresses
Primary practice location
812 Park Avenue East
Mansfield, OH 44905
Mailing address
812 Park Ave E
Mansfield, OH 44905-2860
Phone (419) 747-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.014751 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1891972683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 PARK AVE E",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449052860",
"telephone_number": "419-747-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 PARK AVENUE EAST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44905",
"telephone_number": "419-747-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNETTE",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.014751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.