Active NPI
Asf of Edmond LLC
- Physical Therapy Clinic/Center
- Edmond, OK
National Provider Identifier
1861633976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.