KATHY SUE BONAR (PT) – Orthopedic Physical Therapist, NPI 1629339718

KATHY SUE BONAR (PT) is a healthcare provider. based in Edmond, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 1411 (OK). The NPI Number for KATHY SUE BONAR (PT) is 1629339718

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
KATHY SUE BONAR (PT)
NPI
1629339718
Phone
(405) 513-8118
Address
3500 S BOULEVARD STE A1
Enumeration Date
5 June 2012
Last Update Date
5 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055138118
Graduation Year
1987 (39 years ago)
PAC ID
2961667936
Group Practice PAC ID
4183767072
Professional Enrollment ID
I20120626000513
Address ID
OK730133692ED417XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for KATHY SUE BONAR (PT)

  • 3500 S BOULEVARD STE A1

    EDMOND, OK 730135486

    Phone: (405) 513-8118

    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: 2012-06-26

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
I20120626000513IPhysical Therapist In Private PracticeOKTBD

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
97140Therapy procedure using manual technique, each 15 minutes74236$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47637$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22029$0
97035Application of ultrasound, each 15 minutes21026$0
97530Therapy procedure using functional activities16525$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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Provider's Procedures

KATHY SUE BONAR (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOK97001Physical therapy evaluation4033
PHYSICAL THERAPYOK97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30036
PHYSICAL THERAPYOK97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes45743

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: 4183767072View full group profile
NameSpecialtyState
-OK
Physical Therapist In Private PracticeOK
-OK

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Frequently asked questions

Is there an official ID for KATHY SUE BONAR (PT) in U.S. healthcare records?
The official identifier for KATHY SUE BONAR (PT) is NPI 1629339718.
Would KATHY SUE BONAR (PT) appear as active to a payer?
You can treat KATHY SUE BONAR (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATHY SUE BONAR (PT)?
KATHY SUE BONAR (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHY SUE BONAR (PT)?
Travel planning: use Edmond, Oklahoma as the reference point for KATHY SUE BONAR (PT), then confirm.
Can I trust this NPI listing for KATHY SUE BONAR (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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