Johnny Bonilla, DPT | |
191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | |
(516) 551-4722 | |
(631) 475-0975 |
Full Name | Johnny Bonilla |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 191 Patchogue Yaphank Rd, East Patchogue, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467082958 | NPI | - | NPPES |
045343-01 | Other | NY | NYS PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 045343-01 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Care Physical Therapy And Rehabilitation P.c | 7517023351 | 18 |
Entity Name | Professional Care Physical Therapy And Rehabilitation P.c |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1659518157 PECOS PAC ID: 7517023351 Enrollment ID: O20090304000028 |
Mailing Address | Practice Location Address |
---|---|
Johnny Bonilla, DPT 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 Ph: (516) 551-4722 | Johnny Bonilla, DPT 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 Ph: (516) 551-4722 |
Daniel Shapiro, MD, FAAPMR Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 286 Sills Rd Ste 2, East Patchogue, NY 11772 Phone: 631-654-4988 Fax: 631-654-0899 | |
Peter Chiu, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772 Phone: 631-289-8928 Fax: 631-289-8980 | |
Dr. Benson Go Onghai, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd Bldg 4d, East Patchogue, NY 11772 Phone: 631-398-4797 | |
Ryan Jensen, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 191 Patchogue Yaphank Rd, East Patchogue, NY 11772 Phone: 631-775-0971 Fax: 631-475-0975 |