WAYNE BONKOWSKI (NPI# 1871917492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871917492 |
| Entity Type | Individual |
| Full Name | WAYNE BONKOWSKI |
| Credential | DPT |
| Practice Address |
4110 Mystic Valley Pkwy Ste 12 Medford MA 02155 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 7819606030 |
| Mailing Telephone | 6302962223 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 20962 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4110 MYSTIC VALLEY PKWY STE 12 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177368 | Naomi Ruth Goodman | Physical Therapist | 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 | 2018-09-11 |
| 1649774928 | Raymond Dustin Zolman | Physical Therapist | 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 | 2018-03-21 |
| 1568811628 | Rachel Dawn Biwer | Physical Therapist | 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896699 | Kindness Unlimited Physical Occupational &speech Therapy Services Pllc | Physical Therapist | 1761 Route 112, Medford, NY 11763-3661 | 2020-03-20 |
| 1053944009 | Progressive Rehab Management Corporation | Physical Therapist | 15 Pitchpine Pl, Medford, NY 11763-4208 | 2020-02-18 |
| 1669943742 | Hayle M Boyle | Physical Therapist | 227 Oak St, Medford, NY 11763-4035 | 2018-12-16 |
| 1003397860 | Christopher Herbs | Physical Therapist | 275 Mystic Ave Ste C, Medford, MA 02155-6301 | 2018-08-28 |
| 1871016386 | Elizabeth King | Physical Therapist | 175 Route 70 Ste 19, Medford, NJ 08055-2355 | 2017-07-18 |
| 1982151411 | Linda Cappucci | Physical Therapist | 69 Evans Street, Medford, MA 02155 | 2016-09-01 |
| 1306210034 | Amy Maher Feck | Physical Therapist | 120 Murray St, Medford, MA 02155-1300 | 2015-11-18 |
| 1083001705 | Meredith Johnson | Physical Therapist | 55 Augusta Dr, Medford, NY 11763-2406 | 2015-04-21 |
| 1124411202 | Daniel Robert Pinto | Physical Therapist | 200 Tuckerton Rd Ste 17, Medford, NJ 08055-8806 | 2015-03-12 |
| 1093121295 | Tanner B Judd | Physical Therapist | 618 Crater Lake Ave, Medford, OR 97504-6523 | 2014-07-08 |
| Find all providers in MEDFORD | ||||
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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.