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

Mr. Roberto M. Bonnevie Jr., PT

Individual provider Physical Therapist · NPI 1588891584

Mr. Roberto M. Bonnevie Jr., PT is a Physical Therapist in Waldorf, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11325 Pembrooke Sq Ste 115
Waldorf, MD 20603-4807
Phone: (301) 358-6155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5801 Allentown Rd Ste 200, Suitland, MD 20746-4561 — (240) 842-1435

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 18452 (MD)

Record details

NPI number1588891584
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

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