KIMBERLY ANN BONHAM OTR/L
NPI 1699661819
Occupational Therapist in Dallas, PA
About Kimberly Ann Bonham Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANN BONHAM OTR/L (NPI 1699661819) is an individual occupational therapist in Dallas, Pennsylvania, licensed in Pennsylvania (OC001837L) and active in the NPI registry since June 2025. She is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Ann Bonham Otr/l 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 Kimberly Bonham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, PA 18612
- Reassigned Medicare billing, Pennsylvania enrollment
- 64 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, PA 18612
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 Kimberly Bonham's NPI number?
The NPI number for Kimberly Bonham is 1699661819. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Kimberly Bonham located?
Kimberly Bonham practices at 64 Ridgway Dr Ste 1, Dallas, PA 18612. The listed phone number is (570) 255-4578.
What is Kimberly Bonham's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kimberly Bonham enrolled in Medicare?
Yes. Kimberly Bonham 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 Kimberly Bonham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bonham reassigns Medicare benefits to Cip Rehabilitation Inc (Dallas, PA). 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 Kimberly Bonham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Bonham was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.