TYRA BONANNO
NPI 1306651716
Occupational Therapist in San Diego, CA
About Tyra Bonanno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRA BONANNO (NPI 1306651716) is an individual occupational therapist in San Diego, California, licensed in California (25689) and active in the NPI registry since February 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyra Bonanno's NPI number?
The NPI number for Tyra Bonanno is 1306651716. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is Tyra Bonanno located?
Tyra Bonanno practices at 7151 Navajo Rd Apt 5203, San Diego, CA 92119. The listed phone number is (619) 980-2930.
What is Tyra Bonanno's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Tyra Bonanno was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.