Bonifacio Alhambra Quilo-an Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041707 Issued in NY

Practice address

5 Dianne CRST
Huntington Station, NY 11746-1358

Phone

(516) 800-9335

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Advantage Physical Therapy PCGroup PAC ID 5698818110, 14 clinicians

Reddy Care Physical Therapy PCGroup PAC ID 5890685986, 139 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Home Advantage Physical Therapy PC

  • Physical Therapist
  • Oceanside, NY
  • NPI 1134454119
  Medicare reassignment Care Compare group NPD
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Achieve at Home Physical Therapy PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1932840188
  Medicare reassignment NPD
• Advanced Medical Concepts PC

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
  • NPI 1356651251
  Medicare reassignment NPD
• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Physical Therapist

  Medicare reassignment NPD
• Homeside Rehab, PT, OT, SLP LLC

  • Physical Therapy Clinic/Center
  • Monsey, NY
  • NPI 1023258431

  Physical Therapist

  Medicare reassignment NPD
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365

  Physical Therapist

  Medicare reassignment NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Physical Therapist

  Medicare reassignment NPD
• The Traveling Physical Therapist

  • Physical Therapist
  • Dix Hills, NY
  • NPI 1750847752
  Medicare reassignment NPD
• Mobile Rehab Physical Therapy PC

  • Physical Therapist
  • Huntington Station, NY
  • NPI 1740147065
  NPD Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1497218309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DIANNE CRST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461358",
            "telephone_number": "516-800-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DIANNE CRST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461358",
            "telephone_number": "516-800-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILO-AN",
        "first_name": "BONIFACIO",
        "middle_name": "ALHAMBRA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Theresa A Provetto, PA
• Reynaldo Manubay Punsal, MD
• Layla Quadir, M.D.
• Ricardo Quintanilla, PA-C
• Waqaas Ahmad Quraishi, MD
• R.J.R. Optical Inc.
• Sean Jason Rahilly, LMSW
• Jarret Ralton

• Physical Therapist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.