Ashton M Rety, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS17905 Issued in FL

Practice address

9911 Corkscrew Rd Ste 101
Estero, FL 33928-3323

Phone

(239) 947-5000

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashton M Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: arety@icpeds.opdirect.net

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.

• Island Coast Pediatrics

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1215962386

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1033604129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 CORKSCREW RD STE 101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283323",
            "telephone_number": "239-768-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 CORKSCREW RD STE 101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283323",
            "telephone_number": "239-947-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13650 Metropolis Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124375",
            "country_code": "US",
            "telephone_number": "239-768-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETY",
        "first_name": "ASHTON",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHTON",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• RCS Medical LLC
• Rebecca Anderson PHD LLC
• Tom Matthew Reid, PHYSICAL THERAPIST
• Margaret A Reiley, DO
• Restorative Health and Healing Center LLC
• Fred Rice
• Jennifer L. Rice, PA-C
• Richard R Wilson, D.O.
• Richard R. Wilson, D.O.
• Joan Gargiula Richards, OT

• Pediatrics Physician in Estero, FL
• Providers in Estero, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.