Bonifacio Wenceslao Jr., PT
NPI 1265798086ActiveIndividual· Physical Therapist· Poughkeepsie, NY
Physical Therapist (PT) in Poughkeepsie, New York, licensed in NY, with an NPI issued in April 2012. Medicare paid $53,223 for services to 42 patients in 2024.
Overview
| NPI | 1265798086 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Apr 5, 2012 |
| Last updated in NPPES | Feb 4, 2021 |
| Certified by provider | Feb 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 032312 | NY |
| Contractor | 171W00000X | 032312 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 2,377 across 10 procedure codes |
| Paid by Medicare | $53,223 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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