Active NPI
Juliana Bonilla, M.S. OTR/L
- Specialist
- Washington, DC
National Provider Identifier
1376899435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019005712
- Practice address
- 3800 Reservoir Rd NW BLDG RM
Washington, DC 20007-2113 - Phone
- (202) 444-4180
- NPI assigned
- Jul 26, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0019005712 | VA | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW BLDG RM
Washington, DC 20007-2113
Mailing address
3800 Reservoir Rd. NW
Marcus Bles BLDG; RM CG-12
Washington DC, DC 20007
Phone (202) 444-4180
Other practice location 1
5015 Lee Hwy Ste 202
Arlington, VA 22207-2532
Phone (703) 243-4601
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019005712 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376899435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD. NW",
"address_2": "MARCUS BLES BLDG; RM CG-12",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20007",
"telephone_number": "202-444-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW BLDG RM",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-4180"
}
],
"practiceLocations": [
{
"address_1": "5015 Lee Hwy Ste 202",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222072532",
"country_code": "US",
"telephone_number": "703-243-4601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONILLA",
"first_name": "JULIANA",
"credential": "M.S. OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019005712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.