Individual provider Active NPI

Ashley Patricia Orourke, PT, DPT, ATC, LAT

  • Physical Therapist
  • Mooresville, NC
National Provider Identifier
1043753866
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26255 Issued in MD
Practice address
138 Long Cove LN
Mooresville, NC 28117-5827
Phone
(910) 546-5917
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL3728 FL
Physical Therapist 225100000X 26255 MD Primary

Addresses

Primary practice location

138 Long Cove LN
Mooresville, NC 28117-5827

Mailing address

138 Long Cove LN
Mooresville, NC 28117-5827
Phone (910) 546-5917

Other practice location 1

9030 State Route 108
Suite B
Columbia, MD 21045-1990
Phone (410) 884-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604001842 NC Practitioner - Physical Therapist in Private Practice 9234483868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 McCrorey Ave
Charlotte, NC 28216-5354

40 Duke Medicine Cir
Durham, NC 27710-4000

PO Box
Suite 290609
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26255MDMDMental Health Counselor
AL3728FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Tidal Sports Rehab & Recovery LLC Physical Therapist CurrentSince Oct 11, 2020 Accepting new patients

Organizations & group practices 3

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1043753866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LONG COVE LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175827",
            "telephone_number": "910-546-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LONG COVE LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175827",
            "telephone_number": "910-546-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 State Route 108",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451990",
            "country_code": "US",
            "telephone_number": "410-884-9080",
            "fax_number": "410-884-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROURKE",
        "first_name": "ASHLEY",
        "middle_name": "PATRICIA",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.