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

Johnny Bonilla, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1467082958

Johnny Bonilla, DPT is a Physical Therapist in Private Practice in East Patchogue, New York. Qualified in 2019, 7 years ago. Practices with Link Medical Services PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone: (516) 551-4722
Fax: (631) 475-0975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 045343-01 (NY)

Record details

NPI number1467082958
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Link Medical Services Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Patchogue