Active NPI
Ashley Nichole Bowe, MOT
- Occupational Therapist
- Cross Lanes, WV
National Provider Identifier
1023216009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1274
- Practice address
- 314 Goff Mountain Rd
Suite 13 Medcare Therapy Center
Cross Lanes, WV 25313 - Phone
- (304) 776-5031
- Fax
- (304) 204-6332
- NPI assigned
- Jul 11, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1274 | WV | Primary |
Addresses
Primary practice location
314 Goff Mountain Rd
Suite 13 Medcare Therapy Center
Cross Lanes, WV 25313
Mailing address
5203 Dellway Drive
Cross Lanes, WV 25313
Phone (304) 415-6180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810008946 | Medicaid | WV |
Other names 1
- Ms. Ashley Nichole Bottorf
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 |
|---|---|---|---|
| Medcare Therapy Center | Occupational 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1023216009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 DELLWAY DRIVE",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "25313",
"telephone_number": "304-415-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 GOFF MOUNTAIN RD",
"address_2": "SUITE 13 MEDCARE THERAPY CENTER",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "25313",
"telephone_number": "304-776-5031",
"fax_number": "304-204-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWE",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008946",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "BOTTORF",
"middle_name": "NICHOLE",
"prefix": "MS.",
"credential": "MOT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.