| Grace Bonus, | |
|
7907 Jamaica Ave, Woodhaven, NY 11421-1142 | |
| (347) 494-5684 | |
| (347) 494-5641 |
| Full Name | Grace Bonus |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7907 Jamaica Ave, Woodhaven, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043769821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 016417 (New York) | Primary |
| Provider Name | Outcome Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114208311 PECOS PAC ID: 7719150564 Enrollment ID: O20111024000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Bonus, 7907 Jamaica Ave, Woodhaven, NY 11421-1142 Ph: (347) 494-5684 | Grace Bonus, 7907 Jamaica Ave, Woodhaven, NY 11421-1142 Ph: (347) 494-5684 |
Shiarree Evaristo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91-35 97th Street, Woodhaven, NY 11421 Phone: 347-965-3356 | |
Keri Lynn Heron, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Jamaica Ave, Woodhaven, NY 11421 Phone: 631-366-3898 | |
Marco Ortega, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8504 91st Ave, Woodhaven, NY 11421 Phone: 347-531-5494 | |
Evelina Braude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8305 98th St Apt 5s, Woodhaven, NY 11421 Phone: 917-385-9063 | |
Miss Shalimar Mariano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-847-4222 Fax: 718-441-4117 | |
Dax Xerxes Nepomuceno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95-25 Jamaica Ave., 1st Floor, Woodhaven, NY 11421 Phone: 718-441-4070 Fax: 718-441-4027 |