NPI Lens

Johnny Bonilla, DPT

NPI 1467082958ActiveIndividual· Physical Medicine & Rehabilitation· East Patchogue, NY

Physical Medicine & Rehabilitation (DPT) with Professional Care Physical Therapy and Rehabilitation P.C and 1 other group, practicing in East Patchogue, New York. Medicare paid $93,090 for services to 170 patients in 2024.

Overview

NPI1467082958
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorYes
NPI issuedJan 23, 2020
Last updated in NPPESJan 24, 2020
Certified by providerJan 24, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000X045343-01NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients170
Services billed3,905 across 11 procedure codes
Paid by Medicare$93,090

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physiatrists in East Patchogue

All physiatrists in New York