Trevor Bonn, | |
11476 S 72nd St Ste 102, Papillion, NE 68046-4921 | |
(029) 642-0454 | |
Not Available |
Full Name | Trevor Bonn |
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Gender | Male |
Speciality | Physical Therapist |
Location | 11476 S 72nd St Ste 102, Papillion, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538764287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 19523 (Montana) | Secondary |
225100000X | Physical Therapist | 11788181-2401 (Utah) | Secondary |
225100000X | Physical Therapist | 4560 (Nebraska) | Primary |
Provider Name | Bridger Orthopedics And Sports Medicine Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750310926 PECOS PAC ID: 4587627096 Enrollment ID: O20041105000623 |
Mailing Address | Practice Location Address |
---|---|
Trevor Bonn, Po Box 34669, Omaha, NE 68134-0669 Ph: (402) 932-6791 | Trevor Bonn, 11476 S 72nd St Ste 102, Papillion, NE 68046-4921 Ph: (029) 642-0454 |
Danielle R Thiessen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 S 72nd St Ste 103, Papillion, NE 68046 Phone: 402-932-2782 Fax: 402-932-2705 | |
Mrs. Ann Elizabeth Kastrup, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Polk St, Papillion, NE 68046 Phone: 402-339-7700 | |
Nolan Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 114 E 1st St Ste 105, Papillion, NE 68046 Phone: 402-933-2010 | |
Makovicka Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8419 S 73rd Plz, Suite 104, Papillion, NE 68046 Phone: 402-991-2745 | |
Noemi Lagman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1907 Ridgeview Dr, Papillion, NE 68046 Phone: 402-614-5105 | |
Caitlin M Boadwee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 E 1st St Ste 105, Papillion, NE 68046 Phone: 402-933-2010 Fax: 402-933-3050 | |
Rehabvisions Therapy Papillion Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11336 S 96th St Ste 114, Papillion, NE 68046 Phone: 402-315-3603 Fax: 402-315-3604 |