Annemarie Miranda Bonilla, PT, DPT
NPI 1477210466ActiveIndividual· Physical Therapist, Pediatrics· Los Angeles, CA
Physical Therapist, Pediatrics (PT, DPT) in Los Angeles, California, licensed in CA, with an NPI issued in November 2021.
Overview
| NPI | 1477210466 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Nov 24, 2021 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Jan 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | 301279 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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