Axis Health at Calvert Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AXIS HEALTH AT CALVERT OPCO LLC

Practice address

1881 Telegraph Rd
Rising Sun, MD 21911-2018

Phone

(516) 869-3700

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bent Philipson

Title

Member

Phone

(516) 869-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1649828922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771609",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 TELEGRAPH RD",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112018",
            "telephone_number": "516-869-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEALTH AT CALVERT OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Brent Andrus, LCPC
• Ati Holding LLC (ATI Physical Therapy)
• Ati Holdings LLC
• Ati Holdings, LLC (ATI Physical Therapy)
• Ati Holdings, LLC (ATI Physical Therapy Rising Sun)
• Allison Nicole Backert, OTR/L
• Barry O Baker II, PA-C
• Thomas Ballenger, MSPT
• Jacklyn Barbon
• Kristen Berkowich, LGSW

• Skilled Nursing Facility in Rising Sun, MD
• Providers in Rising Sun, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.