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

Jacqueline Bonomo, PT

Individual provider Physical Therapist · NPI 1023188745

Jacqueline Bonomo, PT is a Physical Therapist in Private Practice in Hilton Head, South Carolina. Qualified in 1993, 33 years ago. Practices with Olympia Innovations LLC, an 11-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
33
Licensed in
SC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

380 Long Cove Dr
Hilton Head, SC 29928-6143
Phone: (843) 645-2668
Fax: (667) 887-7789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10200 (SC)

Record details

NPI number1023188745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Olympia Innovations Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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