John Bonavita
Physical Therapist in Waltham, Massachusetts
1275058059- Practice location
- 431 River St Ste 4, Waltham, MA 02453-5483
- Phone
- 781-314-1000
- Fax
- 781-314-1001
- Last updated
- August 14, 2017
John Bonavita is a Physical Therapist based in Waltham, MA. John Bonavita practices in Waltham, MA. The NPI Number for John Bonavita is 1275058059 and holds a License No. 23128 (MA). The current practice location address for John Bonavita is 431 River St Ste 4, Waltham, MA 02453-5483 and can be reached out via phone at 781-314-1000 and via fax at 781-314-1001.
Provider Profile Details
- NPI Number
- 1275058059
- Provider Name
- John Bonavita
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 431 River St Ste 4, Waltham, MA 02453-5483
- Phone Number
- 781-314-1000
- Fax Number
- 781-314-1001
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 14, 2017
- Last Update Date
- August 14, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 431 River St Ste 4
Waltham, MA 02453-5483 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-5483
- Phone Number
- 781-314-1000
- Fax Number
- 781-314-1001
Provider Business Mailing Address Details
- Address
- 210 Commerce Way Ste 150
Portsmouth, NH 03801-8203 - City
- Portsmouth
- State
- NH
- Zip
- 03801-8203
License Information
- License Number
- 23128
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John Bonavita?
The NPI number of John Bonavita is 1275058059. It was assigned on August 14, 2017 and is currently active in the NPPES registry.
What is the specialty of John Bonavita?
John Bonavita is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23128.
Where does John Bonavita practice?
The practice location is 431 River St Ste 4, Waltham, MA 02453-5483. The office can be reached at 781-314-1000 (phone) or 781-314-1001 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275058059 directly on the NPPES registry website.