Organization Active NPI

Firstline Lymph and Pelvic Therapy LLC

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1619756327
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIRSTLINE LYMPH AND PELVIC THERAPY LLC
Practice address
5850 Waterloo Rd Ste 140-237
Columbia, MD 21045-1941
Phone
(667) 212-7773
NPI assigned
Sep 22, 2023
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Mijeong Joo-Bunyard, DPTNPI 1710510540
Title
Physical Therapist/Ceo
Phone
(667) 212-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5850 Waterloo Rd Ste 140-237
Columbia, MD 21045-1941

Mailing address

5942 Florey Rd
Hanover, MD 21076-1384
Phone (667) 212-7773

Other practice location 1

5942 Florey Rd
Hanover, MD 21076-1384
Phone (667) 212-7773

National Provider Directory

National Provider Directory

Locations

5850 Waterloo Rd
Ste 140237
Columbia, MD 21045
Phone (667) 212-7773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1619756327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 FLOREY RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761384",
            "telephone_number": "667-212-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 140-237",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451941",
            "telephone_number": "667-212-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5942 Florey Rd",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210761384",
            "country_code": "US",
            "telephone_number": "667-212-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRSTLINE LYMPH AND PELVIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "JOO-BUNYARD",
        "authorized_official_first_name": "MIJEONG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
        "authorized_official_telephone_number": "667-212-7773",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.