Individual provider Active NPI

Ashley Monge, PT, DPT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1083168835
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040663 Issued in NY
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

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160921002317 NY Practitioner - Physical Therapist in Private Practice 7416244280 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040663NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicolla and Associates, PT & OT Services, PLLC Physical Therapist CurrentSince Aug 10, 2016 Accepting new patients
Thomas Nicolla Consulting Services, PLLC Physical Therapist CurrentSince Aug 10, 2016 Accepting new patients
Access Therapy Group PT OT SLP and Psychology Services PLLC Physical Therapist CurrentSince Jan 12, 2020 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.

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.

Verify at the official NPI Registry.