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

Kimberly Ann Bonham, OTR/L

Individual provider Occupational Therapist · NPI 1699661819

Kimberly Ann Bonham, OTR/L is an Occupational Therapist in Private Practice in Dallas, Pennsylvania. Qualified in 1987, 39 years ago. Practices with Cip Rehabilitation Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
39
Licensed in
PA
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

64 Ridgway Dr Ste 1
Dallas, PA 18612-9263
Phone: (570) 255-4578
Fax: (570) 255-4575
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC001837L (PA)

Record details

NPI number1699661819
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 15, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Cip Rehabilitation Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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