Mobile Rehab Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILE REHAB PHYSICAL THERAPY PC

Practice address

5 Dianne CRST
Huntington Station, NY 11746-1358

Phone

(619) 519-4937

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Bonifacio A Quilo-an Jr., PT, DPTNPI 1497218309

Title

Owner

Phone

(619) 519-4937

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonifacio Alhambra Quilo-an Jr., PT

  • Physical Therapist
  • Huntington Station, NY
  • NPI 1497218309
  NPD Authorized official

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1740147065",
    "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": "619-519-4937"
        },
        {
            "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": "619-519-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "QUILO-AN",
        "authorized_official_first_name": "BONIFACIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-519-4937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 23, 2026; 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.