DWAYNE PATRICK BONVILLAIN DPT NPI 1538723564

NPI Information

  • NPI: 1538723564
  • Provider Name: DWAYNE PATRICK BONVILLAIN, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 3615 HOSPITAL ST STE B
    PASCAGOULA, MS
    ZIP 39581
  • Phone: (228) 762-1602

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NPI Details

Dwayne Patrick Bonvillain, DPT is an orthopedic physical therapist in Pascagoula, MS with 17 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Dwayne Patrick Bonvillain, DPT NPI is 1538723564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

3615 HOSPITAL ST STE B
PASCAGOULA, MS
ZIP 39581-112
Phone: (228) 762-1602

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)

The enumeration date for this NPI number is 4/25/2019 and was last updated on 4/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSportsPT4504MISSISSIPPINo
22251X0800XPhysical TherapistOrthopedicPT4504MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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