# ASBURY ATLANTIC, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Asbury Methodist Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558086587
- **Authorized official:** MAGDALENE OLSEN (LEGAL & COMPLIANCE PROGRAM COORD.)
- **Authorized official phone:** (301) 250-2105

## Contact information

- **Practice address:** 301 RUSSELL AVE, GAITHERSBURG, MD 20877-2807
- **Practice address phone:** (301) 250-2105
- **Mailing address:** 5285 WESTVIEW DR STE 200, FREDERICK, MD 21703-8521
- **Mailing address phone:** (301) 250-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 10/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 790008200 | — | MD |