Patricia R Bonina, MS,PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

99491 Issued in NY

Practice address

115 State St
Brooklyn, NY 11201-5530

Phone

(718) 596-1137

Fax

(718) 596-1137

NPI assigned

May 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Patricia A Rajczak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1467744888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015530",
            "telephone_number": "718-596-1137",
            "fax_number": "718-596-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015530",
            "telephone_number": "718-596-1137",
            "fax_number": "718-596-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINA",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "99491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RAJCZAK",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gaby E Bonilla, MSED
• Lorenzo Rodrigo Bonilla
• Marlin Bonilla
• Maurice Steve Bonilla Jr., PHARM.D.
• Bonim Lamokom Zichron Moshe Dov
• Godslove Kwasi Agyei Bonnah, MBCHB, MPH
• Theressa Bonne-Annee
• Edwine Bonneau, RN
• Jamyica Bonner
• Jasaun Jerome Anthony Bonner Sr.

• Pediatric Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.