Active NPI
Ashley M Sacks, DPT
- Physical Therapist
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-4798
- Practice address
- 135 S Wakea Ave Ste 112
Kahului, HI 96732-1385 - Phone
- (808) 280-7711
- Fax
- (808) 442-0690
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 7009403-2401 | UT | |
| Physical Therapist | 225100000X | PT-4798 | HI | Primary |
Addresses
Primary practice location
135 S Wakea Ave Ste 112
Kahului, HI 96732-1385
Mailing address
135 S Wakea Ave Ste 112
Kahului, HI 96732-1385
Phone (808) 280-7711
Other names 1
- Ashley Marie Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, HI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Round Valley Dr
Park City, UT 84060-7552
Phone (435) 658-7377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Angie Peters MPT LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Personal PT | Physical Therapist | Past | Accepting new patients |
Locations
135 S Wakea Ave
Ste 112
Kahului, HI 96732
Phone (808) 280-7711
900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Specialist
- Kahului, HI
- NPI 1275964751
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Physical Therapist
- Park City, UT
- NPI 1528272515
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Univ. of Utah Hosp. Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Salt Lake City, UT
- NPI 1275937088
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Physical Therapist
- Park City, UT
- NPI 1770897803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1013177245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE STE 112",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-280-7711",
"fax_number": "808-442-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE STE 112",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-280-7711",
"fax_number": "808-442-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "ASHLEY",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "7009403-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-4798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "NELSON",
"middle_name": "MARIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.