Andre Bonneville, DPT
NPI 1912660101 · Physical Therapist · Wayland, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andre Bonneville, DPT is a Physical Therapist provider in Wayland, MI (NPI 1912660101).
Provider details
- NPI number
- 1912660101
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501020258 (MI)
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
4 yrs 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
- 2021-10-15
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Frequently asked questions
- What is Andre Bonneville's NPI number?
- Andre Bonneville's National Provider Identifier (NPI) is 1912660101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andre Bonneville's specialty?
- Andre Bonneville is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Andre Bonneville located?
- Andre Bonneville's practice location on file with NPPES is 709 W Superior St, Wayland, MI 49348-1226.
- What is Andre Bonneville's phone number?
- The practice phone number listed in the NPPES registry for Andre Bonneville is (269) 792-4440.
- Does Andre Bonneville accept Medicare?
- Andre Bonneville is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andre Bonneville's NPI active?
- Yes — Andre Bonneville's NPI (1912660101) is active in the NPPES registry as of the last update on 2021-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.