Individual provider Active NPI

Julia Taylor Bodnar, DPT

  • Physical Therapist
  • Mitchellville, MD
National Provider Identifier
1760046551
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24283 Issued in MD
Practice address
10450 Lottsford Rd
Mitchellville, MD 20721-2734
Phone
(301) 541-5017
Fax
(301) 541-5165
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 24283 MD Primary

Addresses

Primary practice location

10450 Lottsford Rd
Mitchellville, MD 20721-2734

Mailing address

PO Box 680
Riderwood, MD 21139-0680
Phone (937) 602-3501

Other identifiers 1

IdentifierTypeStateIssuer
24283MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000967 MD Practitioner - Physical Therapist in Private Practice 5092107656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
84.06
Improvement activities
40
Cost
73.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24283MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Assisted Rehab. Incorporated Physical Therapist PastSince Aug 17, 2025 Accepting new patients

Locations

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

979 Bay Village Dr
Annapolis, MD 21403
Phone (410) 266-6626

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1760046551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "RIDERWOOD",
            "state": "MD",
            "postal_code": "211390680",
            "telephone_number": "937-602-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 LOTTSFORD RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212734",
            "telephone_number": "301-541-5017",
            "fax_number": "301-541-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "JULIA",
        "middle_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24283",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchellville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.