Individual provider Active NPI

Ashley M Schurr, DPT

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1073882858
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018969 Issued in IL
Practice address
520 Valley View Dr
Suite 200
Moline, IL 61265-6152
Phone
(309) 797-0866
Fax
(309) 797-0872
NPI assigned
Dec 22, 2011
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018969 IL Primary
Physical Therapist 225100000X 004931 IA

Addresses

Primary practice location

520 Valley View Dr
Suite 200
Moline, IL 61265-6152

Mailing address

2300 53Rd Ave
Suite LL04
Bettendorf, IA 52722-7564
Phone (563) 322-0971

Other names 1

  • Ashley M Widdop Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000456 IL Practitioner - Physical Therapist in Private Practice 0648411561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

850 43Rd Ave
Suite 300
Moline, IL 61265-8401
Phone (309) 743-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004931IAMDPhysical Therapist
070018969ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince Oct 1, 2018 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince May 28, 2013 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince May 28, 2013 Accepting new patients
Ora Orthopedics PC CurrentSince Oct 1, 2018 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

520 Valley View Dr
Ste 200
Moline, IL 61265
Phone (309) 797-0866

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1073882858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 53RD AVE",
            "address_2": "SUITE LL04",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227564",
            "telephone_number": "563-322-0971",
            "fax_number": "563-459-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "address_2": "SUITE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-797-0866",
            "fax_number": "309-797-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURR",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018969",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WIDDOP",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.