Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922854231 Individual Practitioner Female Practitioner

Audry Bonilla

Massage Therapist • Baker, FL

Professional Overview & Biography Verified Profile Summary

Audry Bonilla is a registered healthcare professional specializing in Massage Therapist in Baker, FL. Practice services are available at 5140 KEYSER MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5140 Keyser Mill Rd

Baker, FL 325318354

Telephone 8155573004

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Baker, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Baker, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-26
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA97730

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 26, 2024

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2024

Registered at 5140 KEYSER MILL RD, BAKER, FL 325318354 (Tel: 8155573004)

📍
Updated Business Mailing Address April 26, 2024

Registered at 5140 KEYSER MILL RD, BAKER, FL 325318354 (Tel: 8155573004)

👤
Provider Name / Credentials Updated April 26, 2024

Recorded as AUDRY BONILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2024

Massage Therapist (License #MA97730 in FL)

🟢
Initial NPI Registration & Enumeration April 26, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922854231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2024
Last Update: April 26, 2024
Sole Proprietor: No

Mailing Address

5140 Keyser Mill Rd

Baker, FL 325318354

Phone: 8155573004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.