Active NPI
Sandra L Ashton, PT
- Physical Therapist
- Odessa, TX
National Provider Identifier
1043309115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 179606
- Practice address
- 4218 Wendover
Odessa, TX 79762 - Phone
- (432) 550-4520
- Fax
- (432) 550-2480
- NPI assigned
- Oct 12, 2006
- 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 | 179606 | Primary |
Addresses
Primary practice location
4218 Wendover
Odessa, TX 79762
Mailing address
PO Box 14625
Odessa, TX 79768
Phone (432) 550-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83839T | Other | TX | BCBS |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley M. Ashton PC, Dba Sport Therapy | Physical 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.
-
- Physical Therapist
- Odessa, TX
- NPI 1508985060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043309115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14625",
"city": "ODESSA",
"state": "TX",
"postal_code": "79768",
"telephone_number": "432-550-4520",
"fax_number": "432-550-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 WENDOVER",
"city": "ODESSA",
"state": "TX",
"postal_code": "79762",
"telephone_number": "432-550-4520",
"fax_number": "432-550-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHTON",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "179606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83839T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.