Individual provider Active NPI

Ashley Henderson, DPT

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1083208185
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2065 Airport Blvd Ste 300
Pensacola, FL 32504-5930
Phone
(850) 477-6966
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 Primary

Addresses

Primary practice location

2065 Airport Blvd Ste 300
Pensacola, FL 32504-5930

Mailing address

2065 Airport Blvd Ste 300
Pensacola, FL 32504-5930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AshHenderson@selectmedical.com Select Physical Therapy

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002079 NC Practitioner - Physical Therapist in Private Practice 8022458934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Mar 7, 2021 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

233 Bell Fork Rd
#E
Jacksonville, NC 28540
Phone (910) 238-2259

Interoperability endpoints

  • Direct secure messaging: ashhenderson@selectmedical.com

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1083208185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 AIRPORT BLVD STE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 AIRPORT BLVD STE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045930",
            "telephone_number": "850-477-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AshHenderson@selectmedical.com",
            "affiliation": "Y",
            "affiliationName": "Select Physical Therapy",
            "address_1": "2065 Airport Blvd Ste 300",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325045930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.