Active NPI
Ashley J Thayer, PT
- Physical Therapist
- Hillsboro, WI
National Provider Identifier
1043346463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10758024
- Practice address
- 400 Water Ave
Hillsboro, WI 54634-9054 - Phone
- (608) 489-8260
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10758024 | WI | MD | Physical Therapist |
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 | 10758024 | WI | Primary |
Addresses
Primary practice location
400 Water Ave
Hillsboro, WI 54634-9054
Mailing address
513 Darcy Dr
Apt D
Hillsboro, WI 54634-6209
NPI Registry JSON
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1043346463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 DARCY DR",
"address_2": "APT D",
"city": "HILLSBORO",
"state": "WI",
"postal_code": "546346209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WATER AVE",
"city": "HILLSBORO",
"state": "WI",
"postal_code": "546349054",
"telephone_number": "608-489-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "ASHLEY",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10758024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.