Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blair Bonner

Individual provider Physical Therapist · NPI 1770150823

Blair Bonner is a Physical Therapist in Private Practice in Glen Burnie, Maryland. Qualified in 2021, 5 years ago. Practices with United Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7927 Ritchie Hwy Ste B
Glen Burnie, MD 21061-4373
Phone: (410) 760-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X
Physical Therapist Taxonomy 225100000X · Licence 28453

Record details

NPI number1770150823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice United Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Burnie