Lisa Michelle Bonacci, DPT
Physical Therapist in El Dorado Hills, CA. Individual provider (NPI-1).
NPI number1497701460
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497701460
- Entity type
- Individual (NPI-1)
- Name
- Lisa Michelle Bonacci
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Jul 8, 2007
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 |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT32665 | CA | Yes |
Practice location
907 Embarcadero DrEl Dorado Hills, CA 95762-4087
Phone 916-933-1221 · Fax 916-933-0871
Mailing address
907 Embarcadero DrEl Dorado Hills, CA 95762-4087
Phone 916-933-1221 · Fax 916-933-0871
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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.
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All 54 Physical Therapist providers in El Dorado Hills · All 1,303 providers in El Dorado Hills
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