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

Koeby Bonner, DPT

Individual provider Physical Therapist · NPI 1538052709

Koeby Bonner, DPT is a Physical Therapist in Private Practice in Grand Island, Nebraska. Qualified in 2025, 1 year ago. Practices with Go Physical Therapy LLC, a 95-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
1
Licensed in
NE
In the registry since
2025
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

620 N Diers Ave Ste 300
Grand Island, NE 68803-4985
Phone: (308) 382-0344
Fax: (308) 382-3241
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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 4788 (NE)

Record details

NPI number1538052709
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing addressPo Box 5285, Grand Island, NE 68802-5285

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Go Physical Therapy Llc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Island