KATHRYN BONNER DPT
NPI 1659551802
Physical Therapist in Vicksburg, MS
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
Specialties & Licenses
- 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.
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.
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.
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.
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.
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.