KATHRYN BONNER DPT
NPI 1659551802
Physical Therapist in Vicksburg, MS

Active since November 05, 2007Accepts Medicare Assignment
1990 S FRONTAGE RD STE J, VICKSBURG, MS 39180(601) 883-1983(601) 883-1938 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Bonner Dpt NPPES

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

KATHRYN BONNER DPT (NPI 1659551802) is an individual physical therapist in Vicksburg, Mississippi, licensed in Mississippi (PT3942) and active in the NPI registry since November 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1659551802
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKATHRYN BONNERCredential: DPT
Location Address1990 S FRONTAGE RD STE JVicksburg, MS 39180-5232
Mailing Address1990 S Frontage Rd Ste JVicksburg, MS 39180-5232 · (601) 883-1983 · Fax (601) 883-1938
Fax(601) 883-1938
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 5, 2007
✔ NPI 1659551802 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 MS · PT3942
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.
1990 S FRONTAGE RD STE J, Vicksburg, MS 39180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn 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 ID8325366693
PECOS Enrollment IDI20150416001726

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Bonner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1901 A MISSION 66
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39180 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 4

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

Physical Therapist
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180
Physical Therapy Assistant
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180
Physical Therapist
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180
Physical Therapy Assistant
1990 S FRONTAGE RD STE J
VICKSBURG, MS 39180

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 Kathryn Bonner's NPI number?

The NPI number for Kathryn Bonner is 1659551802. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Kathryn Bonner located?

Kathryn Bonner practices at 1990 S Frontage Rd Ste J, Vicksburg, MS 39180. The listed phone number is (601) 883-1983.

What is Kathryn Bonner's specialty?

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

Is Kathryn Bonner enrolled in Medicare?

Yes. Kathryn 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.

Which organization bills Medicare for Kathryn Bonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Bonner reassigns Medicare benefits to Elite Performance And Rehab, LLC (Vicksburg, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Bonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Bonner accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Kathryn 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 Kathryn Bonner was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.