Ashton Polachek, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12652430-4201 Issued in UT

Practice address

365 W 1550 N Ste H
Layton, UT 84041-2279

Phone

(801) 618-7903

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• OT Innovations, LLC

  • Pediatric Occupational Therapist
  • Layton, UT
  • NPI 1578082954
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1013596790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 N 1750 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404938",
            "telephone_number": "214-300-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 1550 N STE H",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412279",
            "telephone_number": "801-618-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5551 Claiborne Ct",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750391229",
            "country_code": "US",
            "telephone_number": "214-300-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLACHEK",
        "first_name": "ASHTON",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121714",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "12652430-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Plyer
• Martin Poblete
• Ashley Pocock
• Elizabeth Poff
• Heather Rae Poffenberger
• Angela Poll
• Lisa Marie Poll
• Rebecca L Pond
• Bryan Sanford Porter
• Channa Porter, DNP

• Occupational Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.