Alejandro Luis Bonilla
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Torrington, CT
NPI 1689544645 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1689544645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 15178 (CT)
- Practice address
- 881 New Harwinton Rd
Torrington, CT 06790-5948 - Phone
- (203) 441-4261
- Fax
- (860) 736-5013
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy, LLC
Practice addresses (Care Compare)
465 Wolcott Rd
Wolcott, CT 06716-2613
Phone (203) 441-4261
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210000195 | CT | Practitioner - Physical Therapist in Private Practice | 2860971975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15178 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Current |
Accepting new patients |
Locations
881 New Harwinton Rd
Torrington, CT 06790
Phone (860) 482-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 15178 | CT | Yes |
Addresses
Primary practice location
881 New Harwinton Rd
Torrington, CT 06790-5948
Mailing address
176 Laning St
Southington, CT 06489-1603
Phone (203) 441-4261
Other providers in Torrington, CT
- Liran Blum
- Jennifer Boden-Gaumer
- Nicholas Paul Bodmer
- Bryan Vincent Boffi
- Egils Knuts Bogdanovics
- Wendy Bonomonte
- Tracy Robyn Bordeau
- Boris J. Sawula, M.D., P.C.
- Svetlana Borohovich
- Victoria Bothroyd
All providers in Torrington, CT · Physical Medicine & Rehabilitation Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.