Ashley Wertman, DPT

Individual provider Active NPI Physical Therapist · Shepherdstown, WV

NPI 1013435668 · NPPES record last updated Dec 11, 2024

Key facts

NPI
1013435668
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT003904 (WV)
Practice address
211 W High St
Shepherdstown, WV 25443-7700
Phone
(304) 616-0013
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
28381MDMDSocial Worker
PT003904WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Wertman Current
since Dec 8, 2024
Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist Past Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist Past
since Mar 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28381 MD
Physical Therapist 225100000X PT003904 WV Yes

Addresses

Primary practice location

211 W High St
Shepherdstown, WV 25443-7700

Mailing address

PO Box 2000
Shepherdstown, WV 25443-2000
Phone (304) 616-0013

Other practice location 1

5301 Buckeystown Pike
Frederick, MD 21704-8370
Phone (240) 215-4668

Other identifiers

IdentifierTypeStateIssuer
1174350292OtherWVNPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2024.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1013435668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254432000",
            "telephone_number": "304-616-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W HIGH ST",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254437700",
            "telephone_number": "304-616-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Buckeystown Pike",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048370",
            "country_code": "US",
            "telephone_number": "240-215-4668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERTMAN",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174350292",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdstown, WV

All providers in Shepherdstown, WV · Physical Therapist in West Virginia

Sources for this page

Verify at the official NPI Registry.