Milagro Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2181 Issued in NM

Legal business name

MILAGRO THERAPY SERVICES LLC

Practice address

2601 Cherry Ave Ste 211
Bremerton, WA 98310-4208

Phone

(564) 333-4267

Fax

(360) 218-7967

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cynthia Bonilla, OTNPI 1952449068

Title

Owner

Phone

(564) 333-4267

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• MILAGRO THERAPY SERVICES LLC Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Bonilla

  • Occupational Therapist
  • Bremerton, WA
  • NPI 1952449068
  NPD (past) Authorized official
• Michaelee Jane

  • Occupational Therapy Assistant
  • Bremerton, WA
  • NPI 1851210744
  NPD (past)
• Amanda Herrera

  • Physical Therapist
  • Las Vegas, NM
  • NPI 1114055118
  NPD (past)
• Raychel Hosch

  • Speech-Language Pathologist
  • Las Vegas, NM
  • NPI 1003945072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1124195540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 211",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "564-333-4267",
            "fax_number": "360-218-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 211",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "564-333-4267",
            "fax_number": "360-218-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGRO THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "564-333-4267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3205",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2181",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16073029",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILAGRO THERAPY SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margaret Rose Mezen
• Michael W. Huey D.M.D. & Sevak Adamian D.D.S., M.S., P.S.
• Milton Siegfried Michaelis, MD
• Maxwell Michaels
• Timothy Sigurol Mickey
• Brandi Lynn Milam
• Julie Lynn Milasich, OTR/L, CHT
• Josef Robert Milde, PHARM.D.
• Elizabeth Arminda Miles, MA, BCBA
• Steven P. Miles, B.S.,R.T.(R)(CT)(CV)

• Occupational Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.