JOHNNY BONILLA (NPI# 1467082958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467082958 |
| Entity Type | Individual |
| Full Name | JOHNNY BONILLA |
| Credential | DPT |
| Practice Address |
191 Patchogue Yaphank Rd East Patchogue NY 11772-4899 |
| Practice Telephone | 5165514722 |
| Practice Fax Number | 6314750975 |
| Mailing Telephone | 5165514722 |
| Mailing Fax Number | 6314750975 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 045343-01 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS PT LICENSE | 045343-01 | 01 |
| Street Address |
191 PATCHOGUE YAPHANK RD |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484651 | George Ciresi IIi | Specialist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2006-06-12 |
| 1174123137 | Colin Homola | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2020-10-29 |
| 1013517077 | Jennifer Fryant | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2020-10-29 |
| 1528673647 | Marc Recio | Occupational Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2020-09-15 |
| 1497300552 | Elizabeth Marie Antonucci | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2019-08-06 |
| 1033677612 | Procare Occupational Therapy and Physical Therapy, Pllc | Occupational Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2019-03-04 |
| 1215494166 | Amanda Paracat | Occupational Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2019-02-27 |
| 1649749524 | Ryan Jensen | Physical Medicine & Rehabilitation | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2018-11-20 |
| 1568823037 | Natalie Niemczyk | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2016-03-11 |
| 1679949911 | Patrick Thomas Corley | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093889115 | Daniel Shapiro | Physical Medicine & Rehabilitation | 286 Sills Rd Ste 2, East Patchogue, NY 11772-8810 | 2006-11-20 |
| 1306861802 | Peter Chiu | Physical Medicine & Rehabilitation | 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772-4868 | 2006-07-13 |
| 1649749524 | Ryan Jensen | Physical Medicine & Rehabilitation | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2018-11-20 |
| 1578772166 | Brookhaven Physical Medicine and Rehabilitation, P.C. | Physical Medicine & Rehabilitation | 240 Patchogue Yaphank Rd, Suite 101, East Patchogue, NY 11772-4868 | 2007-05-21 |
| 1801964192 | Allied Rehab Medicine Services, P.C. | Physical Medicine & Rehabilitation | 285 Sills Rd, Bldg 4, East Patchogue, NY 11772-4869 | 2006-12-04 |
| 1366499501 | Benson Go Onghai | Physical Medicine & Rehabilitation | 285 Sills Rd, Bldg 4, East Patchogue, NY 11772-4869 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972719 | Port Washington Medical Rehabilitation | Physical Medicine & Rehabilitation | 41 Corchaug Ave, Port Washington, NY 11050-2019 | 2020-11-05 |
| 1982202313 | Harvey Levitan | Physical Medicine & Rehabilitation | 301 E 79th St Apt 28n, New York, NY 10075-0947 | 2020-10-16 |
| 1205442266 | Bay Ridge Community Physical Therapy | Physical Medicine & Rehabilitation | 6806 5th Ave, Brooklyn, NY 11220-6010 | 2020-09-16 |
| 1669086369 | Alexandra Ortiz | Physical Medicine & Rehabilitation | 263 Commerce St, Hawthorne, NY 10532-2040 | 2020-09-01 |
| 1679181572 | Peter Singer | Physical Medicine & Rehabilitation | 175 Helene St, Islip Terrace, NY 11752-1128 | 2020-07-16 |
| 1184242588 | Dina Dicicco Murray | Physical Medicine & Rehabilitation | 119 New Hampshire Ave, Massapequa, NY 11758-3917 | 2020-07-12 |
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1457976946 | Karem Jeffrey Casino | Physical Medicine & Rehabilitation | 4313 Judge St Apt 3r, Elmhurst, NY 11373-3477 | 2020-06-10 |
| 1720608151 | Progressive Medical Fitness PC | Physical Medicine & Rehabilitation | 389 Fort Salonga Rd Ste 2, Northport, NY 11768-3089 | 2020-04-27 |
| 1255951075 | Connect Physical Therapy Nyc | Physical Medicine & Rehabilitation | 2761 Decatur Ave Apt 5a, Bronx, NY 10458-3753 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.