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

Mr. Timothy D Bonack, PTDOMPCC

Individual provider Orthopedic Physical Therapist · NPI 1609838432

Mr. Timothy D Bonack, PTDOMPCC is a Physical Therapist in Private Practice in Colorado Springs, Colorado. Graduated from University of Wisconsin School of Medicine in 1984, 42 years ago. Practices with Manual Edge Physical Therapy Specialists LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
42
Trained at
University of Wisconsin School of Medicine
Licensed in
CO
In the registry since
2006
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Practice location Address checks out

6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409
Phone: (719) 694-8342
Fax: (719) 694-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2373 (CO)

Record details

NPI number1609838432
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDOMPCC
Sole proprietorYes
NPI enumeratedApril 5, 2006
Last updated in NPPESOctober 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Manual Edge Physical Therapy Specialists Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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