Active NPI
Ashley Brooke Poland, PT
- Physical Therapist
- Oak Hill, WV
National Provider Identifier
1023386737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0026212
- Practice address
- 436 Central Ave
Oak Hill, WV 25901-3009 - Phone
- (304) 465-3654
- Fax
- (304) 465-8551
- NPI assigned
- Dec 8, 2011
- 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 Therapist | 225100000X | 0026212 | WV | Primary |
Addresses
Primary practice location
436 Central Ave
Oak Hill, WV 25901-3009
Mailing address
436 Central Ave
Oak Hill, WV 25901-3009
Phone (304) 465-3654
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0026212 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1023386737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 CENTRAL AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013009",
"telephone_number": "304-465-3654",
"fax_number": "304-465-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 CENTRAL AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013009",
"telephone_number": "304-465-3654",
"fax_number": "304-465-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAND",
"first_name": "ASHLEY",
"middle_name": "BROOKE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "0026212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.