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

Melissa Bonilla, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1578562526

Melissa Bonilla, PHYSICIANASSISTANT is a Physician Assistant in Fairfield, Connecticut. Qualified in 2004, 22 years ago. Practices with Rehabilitation Associates Inc, a 532-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
22
Licensed in
CT
In the registry since
2005
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Practice location Address checks out

501 Kings Hwy E Ste 106
Fairfield, CT 06825-4871
Phone: (203) 819-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001589 (CT)

Record details

NPI number1578562526
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Rehabilitation Associates Inc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairfield