Active NPI
Heather Bonar, OTR/L
- Occupational Therapist
- Fairfield, CA
National Provider Identifier
1932358462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15147
- Practice address
- 1652 W Texas St Ste 259
Fairfield, CA 94533-6079 - Phone
- (203) 560-3774
- NPI assigned
- Sep 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15147 | CA | Primary |
Addresses
Primary practice location
1652 W Texas St Ste 259
Fairfield, CA 94533-6079
Mailing address
263 Sundown Ter
Orinda, CA 94563-1212
Phone (203) 560-3774
Other practice location 1
2049 Silas Deane Hwy
Suite 1B
Rocky Hill, CT 06067-2332
Phone (860) 953-0676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.a1rehabservice.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15147 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilborn Care Inc | Current | Accepting new patients | |
| Eastwood Care Inc | Current | Accepting new patients |
Locations
3700 Hilborn Rd
Ste 800
Fairfield, CA 94534
Phone (707) 439-3843
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Manteca, CA
- NPI 1184321036
-
- Skilled Nursing Facility
- Santa Rosa, CA
- NPI 1326734625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1932358462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 SUNDOWN TER",
"city": "ORINDA",
"state": "CA",
"postal_code": "945631212",
"telephone_number": "203-560-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 W TEXAS ST STE 259",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336079",
"telephone_number": "203-560-3774"
}
],
"practiceLocations": [
{
"address_1": "2049 Silas Deane Hwy",
"address_2": "Suite 1B",
"address_purpose": "LOCATION",
"city": "Rocky Hill",
"state": "CT",
"postal_code": "060672332",
"country_code": "US",
"telephone_number": "860-953-0676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONAR",
"first_name": "HEATHER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.a1rehabservice.com",
"affiliation": "N",
"endpointDescription": "company website",
"address_1": "1652 W Texas St Ste 259",
"city": "Fairfield",
"state": "CA",
"country_code": "US",
"postal_code": "945336079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.