KIMBERLY ANN BONHAM OTR/L
NPI 1699661819
Occupational Therapist in Dallas, PA

Active since June 16, 2025Accepts Medicare Assignment
64 RIDGWAY DR STE 1, DALLAS, PA 18612(570) 255-4578(570) 255-4575 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1699661819
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIMBERLY ANN BONHAMCredential: OTR/L
Location Address64 RIDGWAY DR STE 1Dallas, PA 18612-9263
Mailing AddressPo Box 306Bear Creek, PA 18602-0306 · (570) 313-9281 · Fax (570) 472-3184
Fax(570) 255-4575
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 16, 2025
NPPES CertifiedJune 15, 2025
✔ NPI 1699661819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in PA · OC001837L
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
64 RIDGWAY DR STE 1, Dallas, PA 18612

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.

PECOS PAC ID941713465
PECOS Enrollment IDI20250627003569

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.

Occupational Therapist
5 JACQUELYN LN
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.

Occupational Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Occupational Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Physical Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Occupational Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Physical Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Physical Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Occupational Therapist
64 RIDGWAY DR STE 1
DALLAS, PA 18612
Occupational Therapist
64 RIDGWAY DR STE 1
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.