Lauren E Bonilla, MS, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

015415 Issued in NY

Practice address

216 Lee PL
Bellmore, NY 11710-5004

Phone

(516) 790-2852

Fax

(866) 431-7388

NPI assigned

Apr 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy Occupational Therapy and Rehabilitation ServicGroup PAC ID 0446140446, 529 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.16 of 100Reported as group

Quality

70

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Home Advantage Occupational Therapy, P.C.

  • Specialist
  • Bellmore, NY
  • NPI 1730467572
  Medicare reassignment NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD
• Reliance Healthcare

  • Occupational Therapist
  • Bellmore, NY
  • NPI 1205085172
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1336406495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LEE PL",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105004",
            "telephone_number": "516-790-2852",
            "fax_number": "866-431-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LEE PL",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105004",
            "telephone_number": "516-790-2852",
            "fax_number": "866-431-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015415",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "015415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ruiz Blenk, MD; LMSW
• Deborah Faith Blitz, OTR
• Jessicia Bloch
• Board of Fire Commissioners Bellmore Fire District
• Stefni Bogard, N.P.
• Dominique Bourhill
• Tytianna Chaniece Bowers
• Gary J Bowman, DDS
• Ashley Boyce
• Annmarie Bernadette Boyle, MFT

• Physical Rehabilitation Occupational Therapist in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.