Active NPI
Emily Bonin, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1164099099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT294108
- Practice address
- 2070 Century Park E
Los Angeles, CA 90067-1907 - Phone
- (518) 929-6843
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT294108 | CA | Primary |
Addresses
Primary practice location
2070 Century Park E
Los Angeles, CA 90067-1907
Mailing address
17171 Roscoe Blvd Apt 106D
Northridge, CA 91325-5245
Phone (518) 929-6843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT294108 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1164099099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17171 ROSCOE BLVD APT 106D",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255245",
"telephone_number": "518-929-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 CENTURY PARK E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900671907",
"telephone_number": "518-929-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONIN",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.