Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Bonneville, DPT

Individual provider Physical Therapist · NPI 1912660101

Andre Bonneville, DPT is a Physical Therapist in Wayland, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

709 W Superior St
Wayland, MI 49348-1226
Phone: (269) 792-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501020258 (MI)

Record details

NPI number1912660101
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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