Active NPI
Aliza Pabua Bonilla, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1871100792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044527-01
- Practice address
- 165 Division Ave
Brooklyn, NY 11211-7105 - Phone
- (718) 253-8000
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044527-01 | NY | Primary |
Addresses
Primary practice location
165 Division Ave
Brooklyn, NY 11211-7105
Mailing address
2105 New York Ave
Brooklyn, NY 11210-5423
Phone (929) 334-7856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044527 | NY | MD | Endodontist |
| 044527-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1871100792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105423",
"telephone_number": "929-334-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 DIVISION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117105",
"telephone_number": "718-253-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "ALIZA",
"middle_name": "PABUA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044527-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.