Organization Active NPI

Adfinitas Rehabilitative Services of Ohio LLC

  • Internal Medicine Physician
  • Wilmington, OH
National Provider Identifier
1285208025
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADFINITAS REHABILITATIVE SERVICES OF OHIO LLC
Practice address
75 Hale St
Wilmington, OH 45177-2104
Phone
(937) 382-1621
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Ashley Long
Title
Chief Administrative Officer&Genera
Phone
(443) 949-0814

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

75 Hale St
Wilmington, OH 45177-2104

Mailing address

7250 Parkway Dr Ste 500
Hanover, MD 21076-1343
Phone (443) 949-0814

National Provider Directory

National Provider Directory

Locations

75 Hale St
Wilmington, OH 45177
Phone (937) 382-0667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1285208025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR STE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761343",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HALE ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772104",
            "telephone_number": "937-382-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADFINITAS REHABILITATIVE SERVICES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER&GENERA",
        "authorized_official_telephone_number": "443-949-0814"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.