Healthcare Provider Details

I. General information

NPI: 1437240066
Provider Name (Legal Business Name): TIMOTHY I BONDY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 W CONWAY RD
HARBOR SPRINGS MI
49740
US

IV. Provider business mailing address

PO BOX 487
PETOSKEY MI
49770-0487
US

V. Phone/Fax

Practice location:
  • Phone: 231-487-6163
  • Fax: 231-347-0567
Mailing address:
  • Phone: 917-371-5742
  • Fax: 231-487-4615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5501001455
License Number StateMI

VIII. Authorized Official

Name: MR. MATTHEW BONDY
Title or Position: PRESIDENT
Credential:
Phone: 917-371-5742