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ANNEMARIE MIRANDA BONILLA PT, DPT
NPI 1477210466
Physical Therapist - Pediatrics in Los Angeles, CA

Active since November 24, 2021
11460 W WASHINGTON BLVD, LOS ANGELES, CA 90066(310) 337-7115 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2025, Nov 24, 2021 (2 updates tracked since 2021).

About Annemarie Miranda Bonilla Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNEMARIE MIRANDA BONILLA PT, DPT (NPI 1477210466) is an individual pediatrics provider in Los Angeles, California, licensed in California (301279) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1477210466
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameANNEMARIE MIRANDA BONILLACredential: PT, DPT
Location Address11460 W WASHINGTON BLVDLos Angeles, CA 90066-6030
Mailing Address16055 Rayen StNorth Hills, CA 91343-4848 · (415) 328-0915
Phone(310) 337-7115
Sole ProprietorNo
Enumeration DateNovember 24, 2021
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2025
✔ NPI 1477210466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 301279
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

11460 W WASHINGTON BLVD, Los Angeles, CA 90066
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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.

PRINCESSE DE CHRISTA-GUY ROSSIGNOL
Behavior Technician
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (301) 337-7115
ANTHONY HSUNING RUEY
Speech-Language Pathologist
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
JULIENNE JOY V RAMOS
Physical Therapy Assistant
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
MICHELLE AKIYAMA
Physical Therapist
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
JANESSA MARTINEZ PRUM BS, SLP-A
Specialist/Technologist (Speech-Language Assistant)
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
CHIOMA MANUELLA EFUA OGBUEHI OTR
Occupational Therapist
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
JENNIFER MAI
Physical Therapist
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115
CHRISTINA CHU
Occupational Therapist
11460 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 337-7115

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 Annemarie Bonilla's NPI number?

The NPI number for Annemarie Bonilla is 1477210466. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Where is Annemarie Bonilla located?

Annemarie Bonilla practices at 11460 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 337-7115.

What is Annemarie Bonilla's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Annemarie Bonilla was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.