Leanne Marie Bonnell, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-022925 Issued in IL

Practice address

1719 Clawson St
Alton, IL 62002-4702

Phone

(618) 462-1133

Fax

(618) 462-3736

NPI assigned

May 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schwegel Physical Therapy PCGroup PAC ID 0941334213, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Schwegel Physical Therapy PC

  • Physical Therapist
  • Alton, IL
  • NPI 1629390869
  Medicare reassignment Care Compare group NPD
• Alton Physical Therapy, P.C.

  • Physical Therapist
  • Alton, IL
  • NPI 1710017306
  NPD

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992232482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-022925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHYSICAL THERAPIST LICENSE NUMBER",
            "identifier": "070-022925",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Blum-Zipprich, MA
• Taylor Nicole Bobzien, MSW, LSW
• Kirby R Bock
• Chelsy Boeser
• Kelly Ann Bogowith, PT
• Tameco Booth
• Dana Bourland, BA
• Roy Dale Bower, D.M.D.
• Kevin D Boyd, D.O.
• Tobin T Boyd, DMD

• Physical Therapist in Alton, IL
• Providers in Alton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.