# BETHESDA PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366508731
- **Authorized official:** MR. ALLEN P BRODNICK P.T. (OWNER)
- **Authorized official phone:** (301) 897-0357

## Contact information

- **Practice address:** 6410 ROCKLEDGE DR, SUITE 301, BETHESDA, MD 20817-1809
- **Practice address phone:** (301) 897-0357
- **Practice address fax:** (301) 897-2148
- **Mailing address:** 6410 ROCKLEDGE DR, SUITE 301, BETHESDA, MD 20817-1809
- **Mailing address phone:** (301) 897-0357
- **Mailing address fax:** (301) 897-2148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 15634 | MD | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2130724 | MAMSI | MD |
| 01 | — | 375B | BCBS (MD) | MD |
| 01 | — | K130 | BCBS (DC) | DC |