Active NPI
Ashley Nicole Summers, DPT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1003189499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010575A
- Practice address
- 21 S Park Blvd
Suite 21
Greenwood, IN 46143-8838 - Phone
- (317) 449-2104
- Fax
- (765) 450-6664
- NPI assigned
- Feb 15, 2012
- 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 | 05010575A | IN | Primary |
| Pediatric Physical Therapist | 2251P0200X | 070.018485 | IL |
Addresses
Primary practice location
21 S Park Blvd
Suite 21
Greenwood, IN 46143-8838
Mailing address
700 E Firmin Street
Suite 209
Kokomo, IN 46902-2375
Phone (765) 454-9748
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 |
|---|---|---|---|
| 05010575A | IN | MD | Physical Therapist |
| 070.018485 | IL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1003189499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E FIRMIN STREET",
"address_2": "SUITE 209",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469022375",
"telephone_number": "765-454-9748",
"fax_number": "765-450-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S PARK BLVD",
"address_2": "SUITE 21",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438838",
"telephone_number": "317-449-2104",
"fax_number": "765-450-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010575A",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": "070.018485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.