Mrs Regina Carol Bonynge, OTR/L | |
5523 Magnolia Blossom Ln, Sarasota, FL 34233-3275 | |
(941) 926-8778 | |
(941) 926-8778 |
Full Name | Mrs Regina Carol Bonynge |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 5523 Magnolia Blossom Ln, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326006172 | NPI | - | NPPES |
OT2091 | Other | FL | OT LICENSE |
P00458291 | Other | FL | RAILROAD MEDICARE |
Z5555 | Other | FL | BLUE CROSS & BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT2091 (Florida) | Primary |
Provider Name | Maxider Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669501615 PECOS PAC ID: 4385619154 Enrollment ID: O20040826000871 |
Mailing Address | Practice Location Address |
---|---|
Mrs Regina Carol Bonynge, OTR/L 5523 Magnolia Blossom Ln, Sarasota, FL 34233-3275 Ph: (941) 926-8778 | Mrs Regina Carol Bonynge, OTR/L 5523 Magnolia Blossom Ln, Sarasota, FL 34233-3275 Ph: (941) 926-8778 |
Reagan Kendall Garcia, OTD OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5381 Desoto Rd, Sarasota, FL 34235 Phone: 941-355-6111 | |
Miss Lauren Alana Favorito, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3938 S Tamiami Trl, Sarasota, FL 34231 Phone: 866-989-1114 Fax: 866-989-1114 | |
Maureen O'brien, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Marlin Lakes Cir Apt 111, Sarasota, FL 34232 Phone: 215-499-4588 | |
Functional Transformation Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2201 Cantu Ct Ste 109, Sarasota, FL 34232 Phone: 941-830-3749 | |
Kathy Perry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Friendship Dr, Sarasota, FL 34241 Phone: 941-371-1141 | |
Supreet Kaur Sandhu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Benjamin Franklin Dr., Apt.702, Sarasota, FL 34236 Phone: 718-570-2646 | |
Lexie Lundquist, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2201 Cantu Ct Ste 109, Sarasota, FL 34232 Phone: 941-371-1185 |