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CARLY BONNER LAT, ATC
NPI 1174006753
Student in an Organized Health Care Education/Training Program in Laurel, MD

Active since September 10, 2018
14700 BALTIMORE AVE UNIT 106, LAUREL, MD 20707(267) 535-0473 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Mar 23, 2021, Sep 10, 2018 (3 updates tracked since 2018).

About Carly Bonner Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY BONNER LAT, ATC (NPI 1174006753) is an individual student in an organized health care education/training program in Laurel, Maryland and active in the NPI registry since September 2018. She maintains a secondary practice location in Towson.

NPPES Registry Identity

NPI1174006753
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY BONNERCredential: LAT, ATC
Location Address14700 BALTIMORE AVE UNIT 106Laurel, MD 20707-4878
Mailing Address6926 10 Timbers LnBaltimore, MD 21209-1637 · (267) 535-0473
Phone(267) 535-0473
Sole ProprietorNo
Enumeration DateSeptember 10, 2018
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1174006753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14700 BALTIMORE AVE UNIT 106, Laurel, MD 20707
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Secondary Practice Location 1

Location 17800 York RdTowson, MD 21204-7450 · Phone (410) 704-2000

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHREYA SHENOY
Physical Therapist
14700 BALTIMORE AVE UNIT 106
LAUREL, MD 20707
Prince George's County (240) 754-2203
NNEKA CYNTHIA OLIGBO PT
Physical Therapist
14700 BALTIMORE AVE UNIT 106
LAUREL, MD 20707
Prince George's County (240) 754-2203
BINH NGUYEN
Physical Therapist
14700 BALTIMORE AVE UNIT 106
LAUREL, MD 20707
Prince George's County (240) 754-2203
AMBER RENEE BAINES DPT
Physical Therapist
14700 BALTIMORE AVE UNIT 106
LAUREL, MD 20707
Prince George's County (240) 754-2203
MS. SNEHA KALE PT, MS, GCS, CEEAA
Physical Therapist
14700 BALTIMORE AVE UNIT 106
LAUREL, MD 20707
Prince George's County (240) 754-2203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Bonner's NPI number?

The NPI number for Carly Bonner is 1174006753. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Carly Bonner located?

Carly Bonner practices at 14700 Baltimore Ave Unit 106, Laurel, MD 20707. The listed phone number is (267) 535-0473.

What is Carly Bonner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carly Bonner was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.