Active NPIIndividual provider

Carly Bonanno

Occupational Therapist in Peabody, Massachusetts

NPI Number1780338004
Practice location
1R Newbury St, Peabody, MA 01960-4065
Fax
—
Last updated
February 6, 2022

Carly Bonanno is an Occupational Therapist based in Peabody, MA. Carly Bonanno practices in Peabody, MA. The NPI Number for Carly Bonanno is 1780338004 and holds a License No. 14352 (MA). The current practice location address for Carly Bonanno is 1R Newbury St, Peabody, MA 01960-4065 and can be reached out via phone at 978-535-3355.

Provider Profile Details

NPI Number
1780338004
Provider Name
Carly Bonanno
Provider Entity Type
Individual
Gender
Female
Address
1R Newbury St, Peabody, MA 01960-4065
Phone Number
978-535-3355
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2022
Last Update Date
February 6, 2022
Certification Date
February 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1R Newbury St
Peabody, MA 01960-4065
Zip
01960-4065
Phone Number
978-535-3355
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
7 Clementi Ln
Methuen, MA 01844-6480
City
Methuen
State
MA
Zip
01844-6480
Phone Number
978-609-6002

License Information

License Number
14352
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Carly Bonanno?

The NPI number of Carly Bonanno is 1780338004. It was assigned on February 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Carly Bonanno?

Carly Bonanno is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 14352.

Where does Carly Bonanno practice?

The practice location is 1R Newbury St, Peabody, MA 01960-4065. The office can be reached at 978-535-3355 (phone).

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 1780338004 directly on the NPPES registry website.

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