Individual provider Active NPI

Blair Bonner

  • Orthopedic Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1770150823
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
7927 Ritchie Hwy Ste B
Glen Burnie, MD 21061-4373
Phone
(410) 760-1230
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28453
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

7927 Ritchie Hwy Ste B
Glen Burnie, MD 21061-4373

Mailing address

7927 Ritchie Hwy Ste B
Glen Burnie, MD 21061-4373
Phone (410) 760-1230

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WebPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803001203 MD Practitioner - Physical Therapist in Private Practice 5092119701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physical Therapy LLCGroup PAC ID 8123205697, 6 clinicians

Practice addresses (Care Compare)

7927 Ritchie Hwy
Suite B
Glen Burnie, MD 21061-4373
Phone (410) 760-1230

Merit-based Incentive Payment System (MIPS)

Final score
88.75 of 100Reported as group
Quality
85.91
Improvement activities
40
Cost
81.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Physical Therapy LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients

Locations

7927 Ritchie Hwy
Ste B
Glen Burnie, MD 21061
Phone (410) 760-1230

Organizations & group practices 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1770150823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 RITCHIE HWY STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614373",
            "telephone_number": "410-760-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 RITCHIE HWY STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614373",
            "telephone_number": "410-760-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "28453",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "7927 Ritchie Hwy Ste B",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210614373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.