American Advanced Nursing and Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22467 Issued in MD

Legal business name

AMERICAN ADVANCED NURSING AND REHAB

Practice address

10708 Croydon CT
Woodstock, MD 21163

Phone

(410) 750-8042

Fax

(410) 750-8042

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Suja Roy, CRNP

Title

Chief Executive Officer

Phone

(410) 750-8042

Specialties & licenses 1

Addresses

Practitioners 1

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

• Puthenpurackel Roy

  • Physical Therapist
  • Plymouth Meeting, PA
  • NPI 1689825416
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1508201153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 CROYDON CT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "21163",
            "telephone_number": "410-750-8042",
            "fax_number": "410-750-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 CROYDON CT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "21163",
            "telephone_number": "410-750-8042",
            "fax_number": "410-750-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADVANCED NURSING AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-750-8042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Woodstock, MD
• Providers in Woodstock, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.