Jared Paul Bonack, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0002652 Issued in CO

Practice address

1257 Lake Plaza Dr Ste 130
Colorado Springs, CO 80906-7304

Phone

(920) 948-6370

NPI assigned

Jun 11, 2021

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1992373484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 ROCKY BLUFF PT APT 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186247",
            "telephone_number": "920-948-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 LAKE PLAZA DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067304",
            "telephone_number": "920-948-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACK",
        "first_name": "JARED",
        "middle_name": "PAUL",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Bomar, LPCC
• Paula Antoinette Bomar, MSN, NNP
• Irene Bombria
• Geoffrey Bommelaere
• Christina Bonacic
• Timothy D Bonack, PT DOMPCC
• Zoe Bonack, PSYD
• Andrea A Bonanno
• Leatrisha Bonati
• Michele Bonati

• Athletic Trainer in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.