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

Primo Bonilla, OTR/L, HT, PAM

Individual provider Occupational Therapist · NPI 1538936521

Primo Bonilla, OTR/L, HT, PAM is an Occupational Therapist in Private Practice in Arcata, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

670 9th St Ste 4
Arcata, CA 95521-6248
Phone: (707) 232-5452
Fax: (707) 306-7112
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 24672 (CA)

Record details

NPI number1538936521
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L , HT , PAM
Sole proprietorYes
NPI enumeratedDecember 8, 2023
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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