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

Nicholas Harrison Bonoff, DPT

Individual provider Physical Therapist · NPI 1922761964

Nicholas Harrison Bonoff, DPT is a Physical Therapist in Private Practice in Terryville, Connecticut. Qualified in 2021, 5 years ago. Practices with Ivyrehab Connecticut Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
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.

See every abbreviation used in this directory →

Practice location Address checks out

311 Main St
Terryville, CT 06786-5928
Phone: (860) 506-4124
Fax: (860) 845-8197
Show map & directions

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

Additional practice locations (1)

  • 6 Greenwich Office Park, Greenwich, CT 06831-5151 — (203) 869-1145

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 013271 (CT)

Record details

NPI number1922761964
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address176 Laning St, Southington, CT 06489-1603

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ivyrehab Connecticut Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare