ASHBY PONDS OUTPATIENT REHABILITATION AGENCY
NPI 1477099489
Clinic/Center - Rehabilitation in Ashburn, VA

Active since January 13, 2017CLIA 49D2076308 · Waiver
21170 ASHBY PONDS BLVD, ATTN: REHABILITATION MANAGER, ASHBURN, VA 20147(703) 723-1999(410) 204-7237 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ashby Ponds Outpatient Rehabilitation Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHBY PONDS OUTPATIENT REHABILITATION AGENCY (NPI 1477099489) is a healthcare organization registered as a rehabilitation in Ashburn, Virginia and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists James K Walter, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1477099489
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameASHBY PONDS, INC.
Location Address21170 ASHBY PONDS BLVD, ATTN: REHABILITATION MANAGERAshburn, VA 20147-6128
Mailing Address21170 Ashby Ponds Blvd, Attn: Executive DirectorAshburn, VA 20147-6128 · (703) 723-1999 · Fax (410) 204-7237
Fax(410) 204-7237
Organization SubpartNo
Authorized OfficialJames K WalterFinance Director · (410) 402-2315
Enumeration DateJanuary 13, 2017
NPI 1477099489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
21170 ASHBY PONDS BLVD, Ashburn, VA 20147

Other Names 1

Doing Business AsAshby Ponds Outpatient Rehabilitation Agency

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2076308

Ashby Ponds, Inc · Ashburn, VA
Active · expires Apr 14, 2028
CLIA Number49D2076308
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorCarla Rebholz
Laboratory Phone(571) 291-6200
Laboratory LocationAshby Ponds, Inc21160 Maple Branch Terrace Attention: Director Of Continuing Care, Ashburn, VA 20147
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Clinic/Center (Rehabilitation)
21170 ASHBY PONDS BLVD, ATTN: OUTPATIENT ADMINISTRATOR
ASHBURN, VA 20147
Occupational Therapist
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Occupational Therapist
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Speech-Language Pathologist
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Physical Therapy Assistant
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Pharmacist
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147
Nurse Practitioner (Family)
21170 ASHBY PONDS BLVD
ASHBURN, VA 20147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477099489, enumerated as an "organization" on January 13, 2017.

The provider is located at 21170 ASHBY PONDS BLVD ATTN: REHABILITATION MANAGER ASHBURN, VA 20147 and the phone number is (703) 723-1999.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.