Active NPI
Mijeong Joo-Bunyard, PT, DPT
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27816
- 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, 2026
- 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 | 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, MD
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27816 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Firstline Lymph and Pelvic Therapy LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Columbia, MD
- NPI 1619756327
-
dba AAMG Physical Therapy Cape St. Claire
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
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.