| Randi Cheryl Bonner, PT, CLT-LANA, ALM | |
|
1180 Spring Centre South Blvd Ste 225, Altamonte Springs, FL 32714-1991 | |
| (863) 309-8108 | |
| (800) 688-2049 |
| Full Name | Randi Cheryl Bonner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1180 Spring Centre South Blvd Ste 225, Altamonte Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013987338 | NPI | - | NPPES |
| PT14391 | Other | FL | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT14391 (Florida) | Primary |
| Provider Name | Axiomhealth Management Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912456799 PECOS PAC ID: 3072897602 Enrollment ID: O20170228000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Randi Cheryl Bonner, PT, CLT-LANA, ALM 1840 Richmond Way, Bartow, FL 33830-3063 Ph: (352) 422-0709 | Randi Cheryl Bonner, PT, CLT-LANA, ALM 1180 Spring Centre South Blvd Ste 225, Altamonte Springs, FL 32714-1991 Ph: (863) 309-8108 |
Scott Ryan Shepard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 125 W Pineview St, Suite 1009, Altamonte Springs, FL 32714 Phone: 407-830-0400 | |
Tara Marie Granada, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 488 Majestic Way, Altamonte Springs, FL 32714 Phone: 407-466-3460 | |
Mr. Florencio Casanova Regala Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1099 W Town Pkwy, Altamonte Springs, FL 32714 Phone: 407-865-8000 | |
Larry David Pinkus, RPT,AP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 Douglas Ave, Altamonte Springs, FL 32714 Phone: 321-209-9219 Fax: 321-282-9219 | |
Holly Myers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 E Altamonte Dr, Ste. 200, Altamonte Springs, FL 32701 Phone: 407-303-5465 Fax: 407-303-5467 | |
Justin Talbott, P.T., A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 E Altamonte Dr Ste 200, Altamonte Springs, FL 32701 Phone: 407-303-5465 |