Kimberly Ann Bonham, OTR/L in Dallas, PA - Medicare Occupational Therapist In Private Practice Provider

Kimberly Ann Bonham, OTR/L is a medicare enrolled "Occupational Therapist" provider in Dallas, Pennsylvania. She graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is 64 Ridgway Dr Ste 1, Dallas, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 255-4578.

Kimberly Ann Bonham is licensed to practice in Pennsylvania (license number OC001837L) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1699661819.

Contact Information

	Kimberly Ann Bonham, OTR/L
	64 Ridgway Dr Ste 1, Dallas, PA 18612-9263
	(570) 255-4578
	(570) 255-4575

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ann Bonham
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	38 Years
Location	64 Ridgway Dr Ste 1, Dallas, Pennsylvania
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Ann Bonham graduated from medical school in 1987

NPI Data:

NPI Number: 1699661819
Provider Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 0941713465
Enrollment ID: I20250627003569

Medical Identifiers

Medical identifiers for Kimberly Ann Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699661819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC001837L (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ann Bonham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Ann Bonham, OTR/L Po Box 306, Bear Creek, PA 18602-0306 Ph: (570) 313-9281	Kimberly Ann Bonham, OTR/L 64 Ridgway Dr Ste 1, Dallas, PA 18612-9263 Ph: (570) 255-4578

Reviews and Comments

Occupational Therapist in Dallas, PA

Azimuth Occupational Therapy & Wellness Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Highland Blvd, Dallas, PA 18612 Phone: 484-797-9401
Ms. Jennifer Savignano, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 E Center Hill Rd, Dallas, PA 18612 Phone: 570-675-8600
Martha Laytos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 570-266-2920
Martina Marie Sledziewski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 Ridgway Dr, Dallas, PA 18612 Phone: 570-255-4578
Mobile Therapy Services Occupational Therapist Medicare: Medicare Enrolled Practice Location: 27 Main St, Dallas, PA 18612 Phone: 570-282-9382 Fax: 570-227-1891
Meleah Cristiana Hoats, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Ridgway Dr Ste 1, Dallas, PA 18612 Phone: 570-255-4578 Fax: 570-255-4575
Michaelene Ann Kulig, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Ridgway Dr Ste 1, Dallas, PA 18612 Phone: 570-255-4578

Kimberly Ann Bonham, OTR/L - Medicare Occupational Therapist in Dallas, PA