Jared Bonczek, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005000 Issued in PA

Practice address

2 Briarhill Cir
South Abington Township, PA 18411-1602

Phone

(570) 504-6036

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1962907360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIARHILL CIR",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184111602",
            "telephone_number": "570-504-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIARHILL CIR",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184111602",
            "telephone_number": "570-504-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCZEK",
        "first_name": "JARED",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Barry, PSYD
• Chad Bennett
• Emily Bergen, COTA/L
• Krystle L Berkoski, PSY.D.
• Ashok J Bharucha, MD
• Stephanie Ann Bossi, PA-C
• Melanie Brock, COTA/L
• Rebecca Ann Brockmann, MS, OTR/L
• Heather Bronson, PTA
• Deborah Buck

• Physical Therapy Assistant in South Abington Township, PA
• Providers in South Abington Township, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.