Individual provider Active NPI

Arthur Clarence Bronsord, P.T.

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1104822873
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003034 Issued in VA
Practice address
20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393
Phone
(703) 723-5225
Fax
(703) 723-5595
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003034 VA Primary

Addresses

Primary practice location

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393

Mailing address

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393
Phone (703) 723-5225

Other names 1

  • Mr. Arthur Clarence Bronsord Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000480 VA Practitioner - Physical Therapist in Private Practice 0547165102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art Bronsord and Associates Physical Therapy L.L.C.Group PAC ID 9931271848, 3 clinicians

Practice addresses (Care Compare)

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3394
Phone (703) 723-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Art Bronsord & Associates Physical Therapy L.L.C. Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Ptab LLC Physical Therapist PastSince Dec 5, 2003 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 190
Ashburn, VA 20147
Phone (571) 223-0410

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1104822873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL",
            "address_2": "SUITE 190",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473393",
            "telephone_number": "703-723-5225",
            "fax_number": "703-723-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL",
            "address_2": "SUITE 190",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473393",
            "telephone_number": "703-723-5225",
            "fax_number": "703-723-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSORD",
        "first_name": "ARTHUR",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "BRONSORD",
            "middle_name": "CLARENCE",
            "prefix": "MR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.