JULIE TESSLER BONAMO (OTR/L, CHT) – Occupational Therapist, NPI 1699789925

JULIE TESSLER BONAMO (OTR/L, CHT) is a healthcare provider. based in Port orange, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L, CHT. They hold a License No. OT5228 (FL). The NPI Number for JULIE TESSLER BONAMO (OTR/L, CHT) is 1699789925

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JULIE TESSLER BONAMO (OTR/L, CHT)
NPI
1699789925
Phone
(386) 258-8080
Address
3635 S CLYDE MORRIS BLVD
Enumeration Date
29 July 2006
Last Update Date
7 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862588080
Graduation Year
1994 (32 years ago)
PAC ID
6406885631
Group Practice PAC ID
9032148499
Professional Enrollment ID
I20050809000122
Address ID
FL321292317PO3635XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for JULIE TESSLER BONAMO (OTR/L, CHT)

  • 3635, South Clyde Morris Boulevard, The Groves Apartments, Port Orange, Volusia County, Florida, 32129, United States

    ST. 300

    PORT ORANGE, FL 321292300

    Phone: (386) 258-8080

    Fax: (386) 258-8177

    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: 2005-08-09

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
I20050809000122IOccupational Therapist In Private PracticeFLTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20037$0
97035Application of ultrasound, each 15 minutes12427$0
97140Therapy procedure using manual technique, each 15 minutes11621$0
97022Application of whirlpool therapy11029$0
97166Evaluation for occupational therapy, typically 45 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 32129)

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Provider's Procedures

JULIE TESSLER BONAMO (OTR/L, CHT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes8735

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: 9032148499View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does JULIE TESSLER BONAMO (OTR/L, CHT) have a public NPI I can cite?
Public records show JULIE TESSLER BONAMO (OTR/L, CHT) under NPI 1699789925.
Should I treat JULIE TESSLER BONAMO (OTR/L, CHT) as an active provider?
Patients and plans typically see JULIE TESSLER BONAMO (OTR/L, CHT) as active in the national extract.
Which specialty label fits JULIE TESSLER BONAMO (OTR/L, CHT)?
NPPES ties JULIE TESSLER BONAMO (OTR/L, CHT) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JULIE TESSLER BONAMO (OTR/L, CHT)?
JULIE TESSLER BONAMO (OTR/L, CHT) is associated with Port Orange, Florida in the same public data insurers reference.
Why is information missing for JULIE TESSLER BONAMO (OTR/L, CHT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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