Active NPI
Bonnie K Maginn, OTR/L, COTA/L
- Physical Rehabilitation Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1912334079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 2871
- Practice address
- 3827 N 73Rd Dr
Phoenix, AZ 85033-3805 - Phone
- (602) 791-3341
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5504 | AZ | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 2871 | AZ | Primary |
Addresses
Primary practice location
3827 N 73Rd Dr
Phoenix, AZ 85033-3805
Mailing address
3827 N 73Rd Dr
Phoenix, AZ 85033-3805
Phone (602) 791-3341
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 |
|---|---|---|---|
| 5504 | AZ | MD | Chiropractor |
| 2871 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1912334079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 N 73RD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850333805",
"telephone_number": "602-791-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 N 73RD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850333805",
"telephone_number": "602-791-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGINN",
"first_name": "BONNIE",
"middle_name": "K",
"credential": "OTR/L, COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5504",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "AZ",
"license": "2871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.