KATHY SUE BONAR (NPI# 1629339718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629339718 |
Entity Type | Individual |
Full Name | KATHY SUE BONAR |
Credential | PT |
Practice Address |
3500 S Boulevard Ste A1 Edmond OK 73013-5486 |
Practice Telephone | 4055138118 |
Mailing Telephone | 4055138118 |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-06-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 1411 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3500 S BOULEVARD STE A1 |
City | EDMOND |
State | OK |
Zip Code | 73013-5486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831684794 | Kirsten Melissa Floyd | Physical Therapist | 3500 S Boulevard Ste A1, Edmond, OK 73013-5490 | 2018-06-24 |
1043704653 | Ella Moore | Physical Therapist | 3500 S Boulevard Ste A1, Edmond, OK 73013-5490 | 2018-06-18 |
1922510775 | Mikayla Tomasi | Physical Therapy Assistant | 3500 S Boulevard Ste A1, Edmond, OK 73013-5490 | 2017-11-02 |
1033518204 | Jennifer Ann Lacross | Physical Therapist | 3500 S Boulevard Ste A1, Edmond, OK 73013-5490 | 2014-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
Find all providers in zip 73013 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720178650 | Debra Sue Clark | Physical Therapist | 3500 S Boulevard, Suite A, Edmond, OK 73013-5490 | 2006-10-13 |
1881699130 | Oklahoma Manual Therapy Associates, Pllc | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2005-06-14 |
1144655960 | Aaron R Mora | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2013-09-11 |
1346275740 | Emily Rae Pomeroy | Physical Therapist | 416 W 15th St, Suite 100, Edmond, OK 73013-3747 | 2006-07-12 |
1265430268 | Tamara Lynn Brinlee | Physical Therapist | 400 N Bryant Ave, Edmond, OK 73034-3206 | 2005-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912510843 | Premier Physical Therapy LLC | Physical Therapist | 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 | 2020-08-29 |
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1457960718 | Ryoki Aoki | Physical Therapist | 2270 N Perkins Rd # 245, Stillwater, OK 74075-3078 | 2020-07-23 |
1952927816 | Juliana Joy Lackey | Physical Therapist | 1211 N Shartel Ave Ste 801, Oklahoma City, OK 73103-2425 | 2020-06-17 |
1285258202 | Rachel Christine Carroll | Physical Therapist | 1876 Utica Sq Ste 1b, Tulsa, OK 74114-1452 | 2020-06-05 |
1205491776 | Thrive Physio and Performance, LLC | Physical Therapist | 4201 Ne 116th St, Oklahoma City, OK 73131-4413 | 2019-05-09 |
1265819221 | Kailey N. Limber | Physical Therapist | 3327 Nw 50th, Oklahoma City, OK 73112 | 2015-04-29 |
1457784712 | Christopher Martin Ritchie | Physical Therapist | 613 Hillcrest St, Muskogee, OK 74403-8589 | 2013-08-09 |
1649549056 | Mainstream Physical Therapy L.L.C. | Physical Therapist | 30352 S Vfw Rd, Stigler, OK 74462-3606 | 2011-12-14 |
1316228380 | Rae Lynn Foster | Physical Therapist | 4812 S. 109th. E. Ave., Suite 300, Tulsa, OK 74146-5822 | 2011-09-06 |
Find all providers with the same taxonomy |
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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.