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Deactivated NPI 1508405226 Deactivated / Inactive NPI Female Practitioner

Glenda Bonilla

Developmental Therapist • Ocala, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glenda Bonilla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2019
NPI Deactivation Date February 05, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Glenda Bonilla was a registered Developmental Therapist practicing in Ocala, FL. Throughout an active medical career spanning 5 years, Glenda Bonilla provided care at the practice location at 1 HEMLOCK TERRACE CT until profile deactivation on 2024-02-05.

Practice Location & Contact Primary Location

Practice Address

1 Hemlock Terrace Ct

Ocala, FL 344726198

Telephone 3523555143

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Ocala, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Ocala, FL (4429 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: 2024-10-05
Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location February 15, 2024

Registered at 1 HEMLOCK TERRACE CT, OCALA, FL 344726198 (Tel: 3523555143)

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Updated Business Mailing Address February 15, 2024

Registered at 1 HEMLOCK TERRACE CT, OCALA, FL 344726198 (Tel: 3523555143)

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Provider Name / Credentials Updated February 15, 2024

Recorded as GLENDA BONILLA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Developmental Therapist

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NPI Profile Deactivated February 05, 2024

Record deactivated on February 05, 2024

NPI Profile Active December 28, 2019

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2019

Registered at 5063 SW 56TH ST, OCALA, FL 344747621 (Tel: 3523555143)

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Updated Business Mailing Address December 28, 2019

Registered at 5063 SW 56TH ST, OCALA, FL 344747621 (Tel: 3523555143)

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Provider Name / Credentials Updated December 28, 2019

Recorded as GLENDA BONILLA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2019

Developmental Therapist

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Initial NPI Registration & Enumeration December 28, 2019

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: 1508405226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2019
Last Update: October 05, 2024
Deactivation Date: February 05, 2024
Sole Proprietor: Yes

Mailing Address

1 Hemlock Terrace Ct

Ocala, FL 344726198

Phone: 3523555143

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

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