Active NPI
Adrienne Stephanie Asumbrado
- Physical Therapist
- Beaumont, TX
National Provider Identifier
1922499417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1254556
- Practice address
- 3817 Stagg Dr
Beaumont, TX 77701-3717 - Phone
- (409) 866-0856
- Fax
- (409) 866-0136
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1254556 | TX | Primary |
| Physical Therapist | 225100000X | PT29707 | FL |
Addresses
Primary practice location
3817 Stagg Dr
Beaumont, TX 77701-3717
Mailing address
3817 Stagg Dr
Beaumont, TX 77701-3717
Phone (409) 866-0856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29707 | FL | MD | Physical Therapist |
| 1254556 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1922499417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3817 STAGG DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013717",
"telephone_number": "409-866-0856",
"fax_number": "409-866-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3817 STAGG DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013717",
"telephone_number": "409-866-0856",
"fax_number": "409-866-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUMBRADO",
"first_name": "ADRIENNE STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1254556",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.