NPIMap

Organization Active NPI

Adventist Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1841622396
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVENTIST REHABILITATION, INC.
Practice address
12041 Bournefield Way Ste B
Silver Spring, MD 20904-7908
Phone
(301) 592-4400
NPI assigned
Aug 7, 2013
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
James Lee
Title
Evp & Cfo
Phone
(301) 315-3030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital Unit 273Y00000X

Addresses

Primary practice location

12041 Bournefield Way Ste B
Silver Spring, MD 20904-7908

Mailing address

820 W Diamond Ave Ste 500
Gaithersburg, MD 20878-1469
Phone (301) 315-3102

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12041 Bournefield Way
Ste B
Silver Spring, MD 20904
Phone (301) 592-4400

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1841622396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469",
            "telephone_number": "301-315-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 BOURNEFIELD WAY STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047908",
            "telephone_number": "301-592-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "301-315-3030"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.