Johnny Bonilla

DPT | Physiatrist | 6+ years Exp



Medicare Enrolled
 191 Patchogue Yaphank Rd, East Patchogue
    New York, 11772-4899

 516-551-4722    631-475-0975   Maps & Directions
Johnny Bonilla is a East Patchogue, New York based physiatrist with 6 years of experience in Physical Medicine & Rehabilitation (PM&R). He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Johnny Bonilla as Physical Medicine & Rehabilitation (PM&R) is 045343-01 in New York.

Johnny Bonilla is specialized in diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. He has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Complete Profile:
Johnny Bonilla speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Physical Medicine & Rehabilitation (PM&R)
Credentials: DPT
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:191 Patchogue Yaphank Rd, East Patchogue,
New York, 11772-4899
Phone:516-551-4722
Fax:631-475-0975
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9638579659
Enrollment ID: I20210614001583
NPI Number: 1467082958
NPI Enumeration Date: 23 Jan, 2020
NPI Last Update On: 24 Jan, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johnny Bonilla are as mentioned below.
License NumberSpecializationStateStatus
045343-01Physiatrist New YorkPrimary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Johnny Bonilla is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Professional Care Physical Therapy And Rehabilitation P.c (7517023351)17
Other Medical Identifiers:
Other legacy medical identifiers associated with Johnny Bonilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
045343-01OtherNew YorkNYS PT LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 191 Patchogue Yaphank Rd,
East Patchogue, New York
Zip: 11772-4899
Phone Number: 516-551-4722
Fax Number: 631-475-0975
Patients can reach Johnny Bonilla at 191 Patchogue Yaphank Rd, East Patchogue, New York or can call to book an appointment on 516-551-4722. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.
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