Richard Kevin Bonilla, | |
8630 164th Ave Ne Ste 203, Redmond, WA 98052-1906 | |
(425) 658-4980 | |
Not Available |
Full Name | Richard Kevin Bonilla |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 8630 164th Ave Ne Ste 203, Redmond, Washington |
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 |
---|---|---|---|
1851873558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 60855302 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innova Physical Therapy Llc | 5092935551 | 10 |
Provider Name | Innova Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497154504 PECOS PAC ID: 5092935551 Enrollment ID: O20141003001372 |
Mailing Address | Practice Location Address |
---|---|
Richard Kevin Bonilla, 8630 164th Ave Ne Ste 203, Redmond, WA 98052-1906 Ph: (425) 658-4980 | Richard Kevin Bonilla, 8630 164th Ave Ne Ste 203, Redmond, WA 98052-1906 Ph: (425) 658-4980 |
Maureen Patricia Madden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2569 152nd Ave Ne, Redmond, WA 98052 Phone: 425-497-8180 | |
Darshita Dalal, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14961 Ne 95th St, Redmond, WA 98052 Phone: 206-856-9305 | |
Madison Haley Engel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8630 164th Ave Ne Ste 203, Redmond, WA 98052 Phone: 425-658-4980 | |
Gira Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24380 Ne 26th Ct, Redmond, WA 98074 Phone: 770-833-9112 | |
Ramon F Engracia Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052 Phone: 425-882-6100 Fax: 425-882-7690 | |
Emily J Adelson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15809 Bear Creek Pkwy Ste 200, Redmond, WA 98052 Phone: 425-882-6100 Fax: 425-882-7690 | |
Emily Carol Bohannan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8630 164th Ave Ne Ste 203, Redmond, WA 98052 Phone: 425-658-4980 |