Active NPI
Ashley Henderson, DPT
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1083208185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy & Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
Locations
233 Bell Fork Rd
#E
Jacksonville, NC 28540
Phone (910) 238-2259
Interoperability endpoints
- 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.
-
- Physical Therapy Clinic/Center
- Jacksonville, NC
- NPI 1326300013
Physical Therapist
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
-
- Physical Therapist
- Eldersburg, MD
- NPI 1164427092
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.