Organization Active NPI

Asf of Edmond LLC

  • Physical Therapy Clinic/Center
  • Edmond, OK
National Provider Identifier
1861633976
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ASF OF EDMOND LLC
Practice address
250 Enz Dr
Edmond, OK 73034-4436
Phone
(405) 341-0810
Fax
(405) 341-0976
NPI assigned
Mar 19, 2009
Organization subpart
Yes
Parent organization
AMERICAN SENIORS FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Chris Coates
Title
President
Phone
(615) 564-8002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

250 Enz Dr
Edmond, OK 73034-4436

Mailing address

205 Powell PL
Brentwood, TN 37027-7522
Phone (615) 369-0620

Other names 1

  • Bradford Village Doing business as

National Provider Directory

National Provider Directory

Locations

250 Enz Dr
Edmond, OK 73034
Phone (405) 341-0810

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1861633976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 POWELL PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277522",
            "telephone_number": "615-369-0620",
            "fax_number": "615-369-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ENZ DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344436",
            "telephone_number": "405-341-0810",
            "fax_number": "405-341-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASF OF EDMOND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SENIORS FOUNDATION, INC.",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-564-8002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.