Wayne Bonkowski, DPT
Physical Therapist in Medford, Massachusetts
1871917492- Practice location
- 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155
- Phone
- 781-960-6030
- Fax
- —
- Last updated
- June 25, 2018
Wayne Bonkowski is a Physical Therapist based in Medford, MA. Wayne Bonkowski practices in Medford, MA and has the professional credentials of DPT. The NPI Number for Wayne Bonkowski is 1871917492 and holds a License No. 20962 (MA). The current practice location address for Wayne Bonkowski is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155 and can be reached out via phone at 781-960-6030.
Provider Profile Details
- NPI Number
- 1871917492
- Provider Name
- Wayne Bonkowski
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155
- Phone Number
- 781-960-6030
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 18, 2014
- Last Update Date
- June 25, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4110 Mystic Valley Pkwy Ste 12
Medford, MA 02155 - City
- Medford
- State
- Massachusetts
- Zip
- 02155
- Phone Number
- 781-960-6030
Provider Business Mailing Address Details
- Address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - City
- Bolingbrook
- State
- IL
- Zip
- 60440-4909
- Phone Number
- 630-296-2223
- Fax Number
- 630-759-9510
License Information
- License Number
- 20962
- 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 Wayne Bonkowski, DPT?
The NPI number of Wayne Bonkowski, DPT is 1871917492. It was assigned on February 18, 2014 and is currently active in the NPPES registry.
What is the specialty of Wayne Bonkowski, DPT?
Wayne Bonkowski, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 20962.
Where does Wayne Bonkowski, DPT practice?
The practice location is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155. The office can be reached at 781-960-6030 (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 1871917492 directly on the NPPES registry website.