Active NPI
Jeffrey Bonezzi, PT, DPT
- Physical Therapist
- Eugene, OR
National Provider Identifier
1942733837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62192
- Practice address
- 600 Country Club Rd
Eugene, OR 97401-2240 - Phone
- (541) 242-4172
- Fax
- (541) 344-5251
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62192 | OR | Primary |
Addresses
Primary practice location
600 Country Club Rd
Eugene, OR 97401-2240
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4172
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 |
|---|---|---|---|
| 62192 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1942733837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401648",
"telephone_number": "541-242-4172",
"fax_number": "541-344-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012240",
"telephone_number": "541-242-4172",
"fax_number": "541-344-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONEZZI",
"first_name": "JEFFREY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.