Active NPI
Adwoa K Bonsra Boadi, PT
- Orthopedic Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 21987
- Practice address
- 7672 Belair Rd
Baltimore, MD 21236-4088 - Phone
- (410) 663-6450
- Fax
- (410) 663-6451
- NPI assigned
- Apr 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 21987 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 21987 | MD | Primary |
| Physical Therapist | 225100000X | 21987 | MD |
Addresses
Primary practice location
7672 Belair Rd
Baltimore, MD 21236-4088
Mailing address
1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone (410) 321-0377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074738600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111014000168 | MD | Practitioner - Physical Therapist in Private Practice | 8224200316 | Reassigns benefits to 3 organizations |
| I20230905002005 | DC | Practitioner - Physical Therapist in Private Practice | 8224200316 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1447 York Rd
Suite 508
Lutherville, MD 21093-6022
Phone (410) 828-4629
5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21987 | MD | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Mady and Mules, PA | Past | Accepting new patients |
Locations
5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077
10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Chevy Chase, MD
- NPI 1083340988
DC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
MD, Physical Therapist
-
- Rehabilitation Clinic/Center
- Columbia, MD
- NPI 1891472684
MD, Physical Therapist
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
- Physical Therapist
- Gambrills, MD
- NPI 1821546391
-
- Physical Therapist
- Washington, DC
- NPI 1811683923
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1265096382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1336260413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 YORK RD",
"address_2": "SUITE C-101",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936240",
"telephone_number": "410-321-0377",
"fax_number": "410-821-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7672 BELAIR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364088",
"telephone_number": "410-663-6450",
"fax_number": "410-663-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONSRA BOADI",
"first_name": "ADWOA",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MD",
"license": "21987",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "21987",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21987",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074738600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.