Bonnie Lynn Niles, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

20436 Issued in FL

Practice address

582 Five Mile River Rd
Putnam, CT 06260-2835

Phone

(508) 864-2853

NPI assigned

Apr 19, 2007

Last updated

Sep 11, 2025By the provider in NPPES

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

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669699617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 FIVE MILE RIVER RD",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602835",
            "telephone_number": "508-864-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 FIVE MILE RIVER RD",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602835",
            "telephone_number": "508-864-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "3132",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "20436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nes Medical Services of Northern Connecticut, P.C.
• New England Family Medical and Walk-in Center, LLC
• New England Healthcare Staffing
• Sara Cathleen Nickle, DNP, FNP-C, APRN
• Victor Alexis Nieves
• Ilya Noginskiy, MD
• North American Partners in Anesthesia Connecticut PC
• Northeast Connecticut Dental Associates, Inc.
• Northeast Eyewear
• Northeastern Asthma & Allergy Associates, LLC

• Physical Therapy Assistant in Putnam, CT
• Providers in Putnam, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.