Tyra Bonanno
NPI 1306651716 · Occupational Therapist · San Diego, CA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyra Bonanno is a Occupational Therapist provider in San Diego, CA (NPI 1306651716).
Provider details
- NPI number
- 1306651716
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25689 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-12
- Last updated
- 2025-05-27
- Certified
- 2025-02-12
Frequently asked questions
- What is Tyra Bonanno's NPI number?
- Tyra Bonanno's National Provider Identifier (NPI) is 1306651716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyra Bonanno's specialty?
- Tyra Bonanno is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tyra Bonanno located?
- Tyra Bonanno's practice location on file with NPPES is 7151 Navajo Rd Apt 5203, San Diego, CA 92119-4615.
- What is Tyra Bonanno's phone number?
- The practice phone number listed in the NPPES registry for Tyra Bonanno is (619) 980-2930.
- Does Tyra Bonanno accept Medicare?
- Tyra Bonanno is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyra Bonanno's NPI active?
- Yes — Tyra Bonanno's NPI (1306651716) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.