NPIMap

Organization Active NPI

Ashby Ponds, Inc.

  • Rehabilitation Clinic/Center
  • Ashburn, VA
National Provider Identifier
1477099489
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ASHBY PONDS, INC.
Practice address
21170 Ashby Ponds Blvd
Attn: Rehabilitation Manager
Ashburn, VA 20147-6128
Phone
(703) 723-1999
Fax
(410) 204-7237
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
James K Walter
Title
Finance Director
Phone
(410) 402-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd
Attn: Rehabilitation Manager
Ashburn, VA 20147-6128

Mailing address

21170 Ashby Ponds Blvd
Attn: Executive Director
Ashburn, VA 20147-6128
Phone (703) 723-1999

Other names 1

  • ASHBY PONDS OUTPATIENT REHABILITATION AGENCY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317001142 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6103051644 Practice locations: Ashburn, VA

Outpatient physical therapy / speech pathology certification: CCN 496734

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ASHBY PONDS OUTPATIENT REHABILITATION AGENCY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 17, 2013
Last certification
Dec 15, 2020
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
21170 Ashby Ponds Boulevard
Ashburn, VA 20147

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2155854Ehwc Ashby Ponds21170 Ashby Ponds Blvd, Ashburn, VA 20147Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Apl-SNF2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1477099489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "703-723-1999",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "address_2": "ATTN: REHABILITATION MANAGER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "703-723-1999",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBY PONDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "410-402-2315"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASHBY PONDS OUTPATIENT REHABILITATION AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.