Healthcare Provider Details

I. General information

NPI: 1285579136
Provider Name (Legal Business Name): BRYONA KNIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 HAMMONDS LN
BROOKLYN PARK MD
21225-3351
US

IV. Provider business mailing address

21350 BLACK CREEK RD
FRANKLIN VA
23851-3830
US

V. Phone/Fax

Practice location:
  • Phone: 410-636-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10738
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: