Active NPI
Bryn Marie Bonner, DPT
- Physical Therapist
- Chevy Chase, MD
National Provider Identifier
1508328378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27382
- Practice address
- 5530 Wisconsin Ave
Chevy Chase, MD 20815-4404 - Phone
- (301) 390-3076
- NPI assigned
- Apr 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27382 | MD | Primary |
Addresses
Primary practice location
5530 Wisconsin Ave
Chevy Chase, MD 20815-4404
Mailing address
9628 Parkwood Dr
Bethesda, MD 20814-4024
Phone (301) 351-1066
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27382 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1508328378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9628 PARKWOOD DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144024",
"telephone_number": "301-351-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154404",
"telephone_number": "301-390-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "BRYN",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.