Adra General Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADRA GENERAL SERVICES

Practice address

13007 Augustas Progress Drive
Bowie, MD 20720-6315

Phone

(301) 455-8198

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Rasheed Johnson, RPT

Title

Director

Phone

(301) 455-8198

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1619554144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 AUGUSTAS PROGRESS DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206315",
            "telephone_number": "301-455-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13007 AUGUSTAS PROGRESS DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206315",
            "telephone_number": "301-455-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRA GENERAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RASHEED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-455-8198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.