Individual provider Active NPI

Renefe Leah Bondad Lonogan, PHYSICAL THERAPIST

  • Physical Therapist
  • Sandy Spring, MD
National Provider Identifier
1275936858
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25014 Issued in MD
Practice address
18131 Slade School Rd
Sandy Spring, MD 20860-1346
Phone
(301) 924-2811
NPI assigned
Sep 26, 2014
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25014 MD Primary

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

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

LicenseStateTypeSpecialty
25014MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1275936858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14944 CARRY BACK DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783713",
            "telephone_number": "301-801-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18131 SLADE SCHOOL RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601346",
            "telephone_number": "301-924-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 E 30th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212183934",
            "country_code": "US",
            "telephone_number": "410-889-0727",
            "fax_number": "410-889-0729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14944 Carry Back Dr",
            "address_purpose": "LOCATION",
            "city": "North Potomac",
            "state": "MD",
            "postal_code": "208783713",
            "country_code": "US",
            "telephone_number": "301-801-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONOGAN",
        "first_name": "RENEFE LEAH",
        "middle_name": "BONDAD",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.