Ms. Sasha J Bonilla, ATC
Specialist/Technologist, Athletic Trainer in Dayville, Connecticut
1457892176- Practice location
- 1886 Upper Maple St, Dayville, CT 06241-1555
- Phone
- 860-412-1198
- Fax
- —
- Last updated
- May 11, 2019
Sasha J Bonilla is a Specialist/Technologist, Athletic Trainer based in Dayville, CT. Sasha J Bonilla practices in Dayville, CT and has the professional credentials of ATC. The NPI Number for Sasha J Bonilla is 1457892176 and holds a License No. 25MT00204900 (NJ). The current practice location address for Sasha J Bonilla is 1886 Upper Maple St, Dayville, CT 06241-1555 and can be reached out via phone at 860-412-1198.
Provider Profile Details
- NPI Number
- 1457892176
- Provider Name
- Sasha J Bonilla
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1886 Upper Maple St, Dayville, CT 06241-1555
- Phone Number
- 860-412-1198
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 14, 2017
- Last Update Date
- May 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1886 Upper Maple St
Dayville, CT 06241-1555 - City
- Dayville
- State
- Connecticut
- Zip
- 06241-1555
- Phone Number
- 860-412-1198
Provider Business Mailing Address Details
- Address
- 1886 Upper Maple St
Dayville, CT 06241-1555 - City
- Dayville
- State
- CT
- Zip
- 06241-1555
License Information
- License Number (1)
- 25MT00204900
- License State (1)
- NJ
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 001223
- License State (2)
- CT
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Sasha J Bonilla, ATC?
The NPI number of Ms. Sasha J Bonilla, ATC is 1457892176. It was assigned on March 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Sasha J Bonilla, ATC?
Ms. Sasha J Bonilla, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00204900.
Where does Ms. Sasha J Bonilla, ATC practice?
The practice location is 1886 Upper Maple St, Dayville, CT 06241-1555. The office can be reached at 860-412-1198 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457892176 directly on the NPPES registry website.