Active NPI
Ashley Marie Boeglin
- Physical Therapy Assistant
- Carmel, IN
National Provider Identifier
1013210442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06004038A
- Practice address
- 118 Medical Dr
Carmel, IN 46032-3323 - Phone
- (317) 843-4590
- NPI assigned
- Dec 7, 2010
- 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 Therapy Assistant | 225200000X | 06004038A | IN | Primary |
Addresses
Primary practice location
118 Medical Dr
Carmel, IN 46032-3323
Mailing address
322 E 5TH St
Ferdinand, IN 47532-9770
Phone (812) 306-4758
Other practice location 1
150 N Rosenberger Ave
Evansville, IN 47712-6503
Phone (812) 491-3856 ext. 229
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 |
|---|---|---|---|
| 06004038A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1013210442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E 5TH ST",
"city": "FERDINAND",
"state": "IN",
"postal_code": "475329770",
"telephone_number": "812-306-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MEDICAL DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323323",
"telephone_number": "317-843-4590"
}
],
"practiceLocations": [
{
"address_1": "150 N Rosenberger Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477126503",
"country_code": "US",
"telephone_number": "812-491-3856 x229",
"fax_number": "812-759-1586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOEGLIN",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06004038A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.