DR. DANIEL CHARLES BONANNO (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1912782004

DR. DANIEL CHARLES BONANNO (DPT) is a healthcare provider. based in Dracut, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 27062 (MA). The NPI Number for DR. DANIEL CHARLES BONANNO (DPT) is 1912782004

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL CHARLES BONANNO (DPT)
NPI
1912782004
Phone
(978) 735-4490
Address
1595 BRIDGE ST
Enumeration Date
28 August 2023
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787354479
Graduation Year
2023 (3 years ago)
PAC ID
8426499690
Group Practice PAC ID
9133282312
Professional Enrollment ID
I20240520000379
Address ID
MA018262696DR1595XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DR. DANIEL CHARLES BONANNO (DPT)

  • 1595 BRIDGE ST

    DRACUT, MA 018262696

    Phone: (978) 735-4490

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-05-20

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
I20240520000379IPhysical Therapist In Private PracticeMATBD

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 01826)

Loading plans...

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: 9133282312View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNH
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeNH
-MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm DR. DANIEL CHARLES BONANNO (DPT)'s NPI?
Yes. DR. DANIEL CHARLES BONANNO (DPT) is listed with NPI 1912782004 in the public NPI dataset.
Does the file indicate DR. DANIEL CHARLES BONANNO (DPT) is practicing under active NPI?
Directory data currently reports DR. DANIEL CHARLES BONANNO (DPT) as active.
What is DR. DANIEL CHARLES BONANNO (DPT)'s specialty?
The listing groups DR. DANIEL CHARLES BONANNO (DPT) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DANIEL CHARLES BONANNO (DPT) on a map?
Expect Dracut, Massachusetts as a primary anchor for DR. DANIEL CHARLES BONANNO (DPT) unless the record lists multiple sites.
Is the information about DR. DANIEL CHARLES BONANNO (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. LAWRENCE HENRY FIELD (M.D.FAAPMR)

Physical Medicine & Rehabilitation Physician
15 RUSTLEWOOD RDG
NPI: 1902801269

DR. ANDREW L JUDELSON (MD)

Physical Medicine & Rehabilitation Physician
Spaulding Rehabilitation Hospital Cape Cod, 311, Service Road, Sandwich, Barnstable County, Massachusetts, 02537, United States
NPI: 1568467421

DR. JONATHAN R MOLDOVER (M.D.)

Physical Medicine & Rehabilitation Physician
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
NPI: 1043215841

JEFFREY LEE FORMAN (MD)

Physical Medicine & Rehabilitation Physician
Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States
NPI: 1942206503

LORRAINE A GOMBA (MD)

Physical Medicine & Rehabilitation Physician
PO BOX 9120
NPI: 1265439822

MICHAEL A MARCIELLO (MD)

Physical Medicine & Rehabilitation Physician
12;14;16;18;26;28, Asylum Street, Milford, Worcester County, Massachusetts, 01757, United States
NPI: 1902803430