NPIMap

Organization Active NPI

Asbury Atlantic, Inc

Doing business as Asbury Solomon's Isalnd

  • Physical Therapist
  • Solomons, MD
National Provider Identifier
1811429384
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ASBURY ATLANTIC, INC
Doing business as
Asbury Solomon's Isalnd
Practice address
11100 Asbury Cir
Solomons, MD 20688-3004
Phone
(410) 394-3000
Fax
(410) 394-3008
NPI assigned
Apr 3, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Mr. Brad Andrus, M.A., M.A.G.S
Title
Executive Director
Phone
(410) 394-3030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

11100 Asbury Cir
Solomons, MD 20688-3004

Mailing address

11100 Asbury Cir
Solomons, MD 20688-3004
Phone (410) 394-3000

Other names 1

  • Asbury Solomon's Isalnd Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asbury Atlantic Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1811429384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 ASBURY CIR",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883004",
            "telephone_number": "410-394-3000",
            "fax_number": "410-394-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASBURY CIR",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883004",
            "telephone_number": "410-394-3000",
            "fax_number": "410-394-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY ATLANTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-394-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.A.G.S"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Solomon's Isalnd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solomons, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.