Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonifacio Wenceslao Jr., PT

Individual provider Contractor · NPI 1265798086

Bonifacio Wenceslao Jr., PT is a Physical Therapist in Private Practice in Poughkeepsie, New York. Qualified in 2004, 22 years ago. Practices with Kaizen Physical Therapy PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2656 S Rd Ste C
Poughkeepsie, NY 12601-5279
Phone: (845) 849-1082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5980 W 71st St Ste 102, Indianapolis, IN 46278-1785 — (317) 388-0800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032312 (NY)
Contractor Taxonomy 171W00000X · Licence 032312 (NY)

Record details

NPI number1265798086
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 5, 2012
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kaizen Physical Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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