| Kathleen S Bonsall, PT, DPT | |
|
200 Campbell Dr Ste 107, Willingboro, NJ 08046-1067 | |
| (609) 614-3997 | |
| (609) 531-2385 |
| Full Name | Kathleen S Bonsall |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 200 Campbell Dr Ste 107, Willingboro, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811220445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01480800 (New Jersey) | Primary |
| 225100000X | Physical Therapist | PT020193 (Pennsylvania) | Secondary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Robert J Romalino Pt, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467628149 PECOS PAC ID: 9234110131 Enrollment ID: O20080523000354 |
| Provider Name | Fox Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen S Bonsall, PT, DPT Po Box 416495 Suite 4, Boston, MA 02241-4840 Ph: (631) 580-5200 | Kathleen S Bonsall, PT, DPT 200 Campbell Dr Ste 107, Willingboro, NJ 08046-1067 Ph: (609) 614-3997 |
Mr. Kyle Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Sunset Rd Ste 5a, Willingboro, NJ 08046 Phone: 609-835-4801 Fax: 609-835-4950 | |
Jennifer Stewart, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 | |
Dr. Alexander Formolow, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Sunset Rd, Suite 5a And B, Willingboro, NJ 08046 Phone: 609-835-4801 | |
Mr. Lorenzo Zackery, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 Paddock Ln, Willingboro, NJ 08046 Phone: 609-284-1884 | |
Pamela Mechling, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 | |
Beres Jeff Marrast, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Belmont Ln, Willingboro, NJ 08046 Phone: 347-469-1565 | |
Nicole M Hoffman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 |