Renefe Leah Bondad Lonogan, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Sandy Spring, MD
NPI 1275936858 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1275936858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25014 (MD)
- Practice address
- 18131 Slade School Rd
Sandy Spring, MD 20860-1346 - Phone
- (301) 924-2811
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25014 | MD | Yes |
Addresses
Primary practice location
18131 Slade School Rd
Sandy Spring, MD 20860-1346
Mailing address
14944 Carry Back Dr
North Potomac, MD 20878-3713
Phone (301) 801-2205
Other practice location 1
416 E 30th St
Baltimore, MD 21218-3934
Phone (410) 889-0727
Other practice location 2
14944 Carry Back Dr
North Potomac, MD 20878-3713
Phone (301) 801-2205
Other providers in Sandy Spring, MD
- Marilyn Lemus Mejia
- Lisa Helaine Levine
- Eric Liddle
- Life Lift LLC
- Joan Liversidge
- Lisa A Lorden
- Michael J Lorenz
- Briana Lea Marangi
- Thandi Masilela
- Emily Luisa McCullough
All providers in Sandy Spring, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.