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DR. JEFFREY BONNEVILLE DMSC MS LPO
NPI 1366973463
Orthotist in Boston, MA

Active since March 21, 2017
150 S HUNTINGTON AVE, BOSTON, MA 02130(857) 364-6962 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Bonneville Dmsc Ms Lpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY BONNEVILLE DMSC MS LPO (NPI 1366973463) is an individual orthotist provider in Boston, Massachusetts, licensed in Pennsylvania (OH000281) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1366973463
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameDR. JEFFREY BONNEVILLECredential: DMSC MS LPO
Location Address150 S HUNTINGTON AVEBoston, MA 02130-4817
Mailing Address150 S Huntington AveBoston, MA 02130-4817 · (857) 364-6962
Phone(857) 364-6962
Sole ProprietorNo
Enumeration DateMarch 21, 2017
✔ NPI 1366973463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in PA · OH000281
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License PO000194 (PA), 211.000165 (IL)
150 S HUNTINGTON AVE, Boston, MA 02130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN SUZANNE MITCHELL PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, 116B-3
BOSTON, MA 02130
Suffolk County (857) 364-2149
JENNA MARIE RENZULLI
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (617) 390-4872
TAYLOR LEIGH BROOKS PHD
Psychologist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-3189
DR. VALIA A BOOSALIS MD
Internal Medicine (Hematology & Oncology)
150 S HUNTINGTON AVE, IIIHO
BOSTON, MA 02130
Suffolk County (617) 232-9500
MS. RACHEL FAWN FURMAN R.N.
Registered Nurse
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (508) 649-1118
DR. KALYN ELIZABETH LAZAR PHARMD
Pharmacist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (610) 217-0908
MRS. ELAINE MARIE FINNERAL LICSW
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-5770
BARBARA L NILES PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM
BOSTON, MA 02130
Suffolk County (857) 364-4128

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 Jeffrey Bonneville's NPI number?

The NPI number for Jeffrey Bonneville is 1366973463. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jeffrey Bonneville located?

Jeffrey Bonneville practices at 150 S Huntington Ave, Boston, MA 02130. The listed phone number is (857) 364-6962.

What is Jeffrey Bonneville's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Bonneville was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.