Steven Bonham, PTA
Physical Therapy Assistant in Southaven, MS. Individual provider (NPI-1).
NPI number1093979148
StatusActive
Last updated in NPPESJul 17, 2008
Details
- NPI
- 1093979148
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Bonham
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2008
- Last updated
- Jul 17, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA2173AR | AR | Yes |
Practice location
385 Nail RdApt B-21
Southaven, MS 38671-8853
Phone 870-897-9503
Mailing address
385 Nail RdApt B-21
Southaven, MS 38671-8853
Phone 870-897-9503
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Southaven, MS
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- Adam Wade Burch, PTANPI 1922841832
- Rachel Shea Carter, PTANPI 1558131771
- Claye W Childers, PTANPI 1508679309
- Stacy Fitch, PTANPI 1124470182
- Latoya Yvette Harris, PTANPI 1760855365
- Nicholas Martin Harris, PTANPI 1306350640
- Stacy L Holder, PTA09NPI 1649554890
- Antonio HughesNPI 1144844838
- Antonio McCallNPI 1093355752
All 15 Physical Therapy Assistant providers in Southaven · All 1,578 providers in Southaven
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