Carly Bonner, LAT, ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

14700 Baltimore Ave Unit 106
Laurel, MD 20707-4878

Phone

(267) 535-0473

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174006753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 10 TIMBERS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091637",
            "telephone_number": "267-535-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 BALTIMORE AVE UNIT 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074878",
            "telephone_number": "267-535-0473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 York Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047450",
            "country_code": "US",
            "telephone_number": "410-704-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "CARLY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-09-11",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathias Boddicker III
• Andrea L Bogger, LCPC
• Oladunni O Bolarinwa
• Cassandre Bolton, LCSW-C, LICSW
• Andrew Alan Bombardier, M.D.
• Mark Marcellus Booker
• Jennifer Borghaus, PHARMD, RPH
• Ting Borrero
• Clifford Boswell
• Geneva Boswell

• Student in an Organized Health Care Education/Training Program in Laurel, MD
• Providers in Laurel, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• 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.