MADELEINE BONNEVILLE (NPI# 1013517911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013517911 |
| Entity Type | Individual |
| Full Name | MADELEINE BONNEVILLE |
| Practice Address |
1200 Centre St Roslindale MA 02131-1011 |
| Mailing Address |
83 Withington Rd Newton MA 02460-2037 |
| Practice Telephone | 6173638144 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
22854 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1200 CENTRE ST |
| City | ROSLINDALE |
| State | MA |
| Zip Code | 02131-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607917 | Frederick Rowland | Internal Medicine | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1000 | 2005-05-23 |
| 1295384436 | Alaa H Qari | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-09-10 |
| 1790338473 | Prajakta Joshi | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-07-22 |
| 1003395922 | Madeleine Wan Yong Tan | Dentist | 1200 Centre St, Roslindale, MA 02131-1000 | 2018-08-10 |
| 1477069391 | Hebrew Seniorlife Affiliated Medical Group Inc | Internal Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-12-15 |
| 1962929604 | Rachael Falk | Psychologist | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-24 |
| 1154847507 | Geraldo Silva | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-17 |
| 1114360195 | Olivia Justine Liff | Family Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2013-04-09 |
| 1194078220 | Susan A Poludniak | Dietitian, Registered | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1011 | 2012-10-26 |
| 1205189032 | Patricia Aie-lan Wong | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
| 1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
| 1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
| 1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
| 1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
| 1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
| 1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
| Find all providers in zip 02131 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863208 | Bernard Paul Tabungar | Physical Therapist | 630 Merrill Ln Apt 4, Dracut, MA 01826-4450 | 2020-02-18 |
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1952965329 | Sarah Daly | Physical Therapist | 125 Parker Hill Ave # Main2, Boston, MA 02120-2847 | 2019-04-30 |
| 1518430651 | Kennedy Ndamba | Physical Therapist | 119 Foster St, Peabody, MA 01960-5933 | 2019-01-10 |
| 1134634082 | Victoria Kilroy | Physical Therapist | 110 Haverhill Rd Ste 344, Amesbury, MA 01913-2139 | 2017-12-13 |
| 1760923825 | Karen Oster | Physical Therapist | 23 Shipyard Dr Apt 206, Hingham, MA 02043-1609 | 2017-03-09 |
| 1699214320 | Diane O'sullivan | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-02-14 |
| 1033515135 | Alice Hooper | Physical Therapist | 40 Pine Ridge Dr, Bridgewater, MA 02324-1964 | 2014-11-17 |
| 1952744377 | Amy Elizabeth Strong | Physical Therapist | 190 Peck St, Franklin, MA 02038-2218 | 2013-04-16 |
| 1750664017 | Virginia Elaine Silvia | Physical Therapist | 383 East St, Brockton, MA 02302 | 2011-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ROSLINDALE |
| Zip Code | 02131 |
Please comment or provide details below to improve the information on MADELEINE BONNEVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.