Active NPI
Ashley Vangundy
- Physical Therapist
- Pasco, WA
National Provider Identifier
1003460114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60974763
- Practice address
- 6825 Burden Blvd Ste D
Pasco, WA 99301-5633 - Phone
- (509) 416-0666
- Fax
- (509) 545-1112
- NPI assigned
- Jul 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60974763 | WA | Primary |
Addresses
Primary practice location
6825 Burden Blvd Ste D
Pasco, WA 99301-5633
Mailing address
6825 Burden Blvd Ste D
Pasco, WA 99301-5633
Phone (509) 416-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60974763 | Other | WA | WA STATE LICENSE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Northwest Sports Physical Therapy, Inc.
- Physical Therapist
- Tacoma, WA
- NPI 1225582844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1003460114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6825 BURDEN BLVD STE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993015633",
"telephone_number": "509-416-0666",
"fax_number": "509-545-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 BURDEN BLVD STE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993015633",
"telephone_number": "509-416-0666",
"fax_number": "509-545-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGUNDY",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60974763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "PT60974763",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.