Individual provider Active NPI

Mijeong Joo-Bunyard, PT, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1710510540
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27816 Issued in MD
Practice address
5850 Waterloo Rd Ste 140-237
Columbia, MD 21045-1941
Phone
(667) 212-7773
NPI assigned
Feb 20, 2020
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27816 MD 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

1153 MD-3N
Suite 35
Gambrills, MD 21054
Phone (443) 481-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200312001558 DC Practitioner - Physical Therapist in Private Practice 3678901238 Reassigns benefits to 1 organization
I20200414000749 MD Practitioner - Physical Therapist in Private Practice 3678901238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Practice addresses (Care Compare)

1153 State Route 3 N
Suite 35
Gambrills, MD 21054-1737
Phone 4102162200443292

4175 N Hanson Court
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27816MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Feb 28, 2020 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Firstline Lymph and Pelvic Therapy LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Feb 28, 2020 Accepting new patients

Locations

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

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

1153 State Route 3 N
Ste 35
Gambrills, MD 21054
Phone (410) 216-2200

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

7611 Crain Hwy
Ste C170
Upper Marlboro, MD 20772

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1710510540",
    "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": "1153 MD-3N",
            "address_2": "Suite 35",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "21054",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOO-BUNYARD",
        "first_name": "MIJEONG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27816",
            "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.
  • 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.

Verify at the official NPI Registry.