JOHNNY BONILLA DPT
NPI 1467082958
Physical Medicine & Rehabilitation in East Patchogue, NY
About Johnny Bonilla Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY BONILLA DPT (NPI 1467082958) is an individual physical medicine & rehabilitation provider in East Patchogue, New York, licensed in New York (045343-01) and active in the NPI registry since January 2020. He is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Johnny Bonilla Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Johnny Bonilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
New York, NY 10013
- Reassigned Medicare billing, New York enrollment
- 364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST PATCHOGUE, NY 11772
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Johnny Bonilla's NPI number?
The NPI number for Johnny Bonilla is 1467082958. It was assigned to this individual provider in the NPPES registry on January 23, 2020.
Where is Johnny Bonilla located?
Johnny Bonilla practices at 191 Patchogue Yaphank Rd, East Patchogue, NY 11772. The listed phone number is (516) 551-4722.
What is Johnny Bonilla's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Johnny Bonilla enrolled in Medicare?
Yes. Johnny Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Johnny Bonilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Bonilla reassigns Medicare benefits to 3 organizations: Professional Care Physical Therapy And Rehabilitation P.C (East Patchogue, NY), Link Medical Services PLLC (Riverhead, NY) and Bienetre Medical PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Johnny Bonilla was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.