TANYA RENOIS BONVILLAIN (DPT) – Physical Therapist, NPI 1023045424

TANYA RENOIS BONVILLAIN (DPT) is a healthcare provider. based in Saraland, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 06643 (LA). The NPI Number for TANYA RENOIS BONVILLAIN (DPT) is 1023045424

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TANYA RENOIS BONVILLAIN (DPT)
NPI
1023045424
Phone
(251) 679-0015
Address
205 HIGHWAY 43 N
Enumeration Date
28 June 2006
Last Update Date
13 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512395395
Graduation Year
2004 (22 years ago)
PAC ID
2062461320
Group Practice PAC ID
3577462126
Professional Enrollment ID
I20061006000549
Address ID
AL365074113BA1902XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

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Provider Addresses for TANYA RENOIS BONVILLAIN (DPT)

  • Old Citronelle Highway, Mobile County Commission District 1, Saraland, Mobile County, Alabama, 36613, United States

    SARALAND, AL 365712126

    Phone: (251) 679-0015

    Fax: (251) 679-0091

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061006000549IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36571)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577462126View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
-AL
-AL
Physical Therapist In Private PracticeAL
-AL
-AL
-TN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeMS

Reviews

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Frequently asked questions

What federal number belongs to TANYA RENOIS BONVILLAIN (DPT)?
The federal identifier for TANYA RENOIS BONVILLAIN (DPT) is NPI 1023045424.
Does this profile mean TANYA RENOIS BONVILLAIN (DPT) is currently active?
Yes — TANYA RENOIS BONVILLAIN (DPT) appears active in the national provider directory.
What field does TANYA RENOIS BONVILLAIN (DPT) work in?
You can think of TANYA RENOIS BONVILLAIN (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for TANYA RENOIS BONVILLAIN (DPT)?
The page summarizes Saraland, Alabama for TANYA RENOIS BONVILLAIN (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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