MARY B BOGENSCHUETZ-BONN (PT) – Physical Therapist, NPI 1083881536

MARY B BOGENSCHUETZ-BONN (PT) is a healthcare provider. based in Pueblo, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2685 (CO). The NPI Number for MARY B BOGENSCHUETZ-BONN (PT) is 1083881536

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY B BOGENSCHUETZ-BONN (PT)
NPI
1083881536
Phone
(719) 562-6200
Address
4112 OUTLOOK BLVD
Enumeration Date
14 May 2008
Last Update Date
16 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195626200
Graduation Year
1986 (40 years ago)
PAC ID
2769728757
Group Practice PAC ID
8628989043
Professional Enrollment ID
I20190111002067
Address ID
CO810081667PU4112XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for MARY B BOGENSCHUETZ-BONN (PT)

  • 4112, Outlook Boulevard, Pueblo, Pueblo County, Colorado, 81008, United States

    #96

    PUEBLO, CO 81008

    Phone: (719) 562-6200

    Fax: (719) 562-6225

    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: 2019-01-11

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
I20190111002067IPhysical Therapist In Private PracticeCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,491116$0
97140Therapy procedure using manual technique, each 15 minutes47091$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23577$0
97113Therapy procedure using water pool to exercises, each 15 minutes21312$0
97530Therapy procedure using functional activities10244$0
View full utilization report →

Insurance plans in this area (ZIP 81008)

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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: 8628989043View full group profile
NameSpecialtyState
-NE
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeAP

Reviews

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Frequently asked questions

Is there an official ID for MARY B BOGENSCHUETZ-BONN (PT) in U.S. healthcare records?
The official identifier for MARY B BOGENSCHUETZ-BONN (PT) is NPI 1083881536.
Would MARY B BOGENSCHUETZ-BONN (PT) appear as active to a payer?
You can treat MARY B BOGENSCHUETZ-BONN (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MARY B BOGENSCHUETZ-BONN (PT)?
MARY B BOGENSCHUETZ-BONN (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MARY B BOGENSCHUETZ-BONN (PT) located near Pueblo?
MARY B BOGENSCHUETZ-BONN (PT) currently maps to Pueblo, Colorado in this extract.
Can I trust this NPI listing for MARY B BOGENSCHUETZ-BONN (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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