KOEBY BONNER DPT
NPI 1538052709
Physical Therapist in Grand Island, NE

Active since May 29, 2025Accepts Medicare Assignment
620 N DIERS AVE STE 300, GRAND ISLAND, NE 68803(308) 382-0344(308) 382-3241 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Koeby Bonner Dpt NPPES

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

KOEBY BONNER DPT (NPI 1538052709) is an individual physical therapist in Grand Island, Nebraska, licensed in Nebraska (4788) and active in the NPI registry since May 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1538052709
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKOEBY BONNERCredential: DPT
Location Address620 N DIERS AVE STE 300Grand Island, NE 68803-4985
Mailing AddressPo Box 5285Grand Island, NE 68802-5285 · (308) 675-1853 · Fax (308) 210-4121
Fax(308) 382-3241
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
NPI 1538052709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NE · 4788
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
620 N DIERS AVE STE 300, Grand Island, NE 68803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Koeby Bonner Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012428048
PECOS Enrollment IDI20250617001939

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Physical Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Physical Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Occupational Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Physical Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Occupational Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Occupational Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Physical Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803
Physical Therapist
620 N DIERS AVE STE 300
GRAND ISLAND, NE 68803

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 Koeby Bonner's NPI number?

The NPI number for Koeby Bonner is 1538052709. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Koeby Bonner located?

Koeby Bonner practices at 620 N Diers Ave Ste 300, Grand Island, NE 68803. The listed phone number is (308) 382-0344.

What is Koeby Bonner's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Koeby Bonner enrolled in Medicare?

Yes. Koeby Bonner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Koeby Bonner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Koeby Bonner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koeby Bonner was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.