Frances Nicole Bonfiglio, COTA/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011179-01 Issued in NY

Practice address

75 Crystal Run Rd Ste 201
Middletown, NY 10941-7010

Phone

(845) 692-4391

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Frances Nicole Portillo-Llorens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1457077968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417010",
            "telephone_number": "845-692-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417010",
            "telephone_number": "845-692-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFIGLIO",
        "first_name": "FRANCES",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TA09231300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011179-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "PORTILLO-LLORENS",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "MAIDEN NAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorothy Bodnar, FNP
• Christine T Bogert, COTA
• Staci E. Bolger
• Joan Bolles
• Laura Beth Bonacore, CPNP
• Samantha Bongiorno, MD
• Zachary Bonitz
• Bharathi V Bonthu, M.D.
• Nathan Bookbinder
• Thomas John Booker, MD

• Occupational Therapist in Middletown, NY
• Providers in Middletown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.