Active NPI
Ashley Monge, PT, DPT
- Physical Therapist
- Clifton Park, NY
National Provider Identifier
1083168835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040663
- Practice address
- 515 Moe Road
Clifton Park, NY 12065-3821 - Phone
- (518) 280-4294
- Fax
- (518) 280-4297
- NPI assigned
- Aug 10, 2016
- 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 | 040663 | NY | Primary |
Addresses
Primary practice location
515 Moe Road
Clifton Park, NY 12065-3821
Mailing address
515 Moe Road
Clifton Park, NY 12065-3821
Phone (518) 280-4294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040663 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicolla and Associates, PT & OT Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Thomas Nicolla Consulting Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Access Therapy Group PT OT SLP and Psychology Services PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1367 Washington Ave
Ste 100
Albany, NY 12206
Phone (518) 438-7926
515 Moe Rd
Clifton Park, NY 12065
Phone (518) 280-4294
711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667
Organizations & group practices 4
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.
-
- Specialist
- Latham, NY
- NPI 1487633152
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1508812116
-
- Physical Medicine & Rehabilitation Physician
- Clifton Park, NY
- NPI 1255641510
Physical Therapist
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1083168835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MOE ROAD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653821",
"telephone_number": "518-280-4294",
"fax_number": "518-280-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MOE ROAD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653821",
"telephone_number": "518-280-4294",
"fax_number": "518-280-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGE",
"first_name": "ASHLEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.