Individual provider Active NPI

Ashley Johnson, PT

  • Physical Therapist
  • Apollo, PA
National Provider Identifier
1083901052
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021268 Issued in PA
Practice address
4203 PA-66
Suite 102
Apollo, PA 15613
Phone
(724) 727-7915
NPI assigned
Jun 29, 2011
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 PT021268 PA Primary

Addresses

Primary practice location

4203 PA-66
Suite 102
Apollo, PA 15613

Mailing address

111 Grange Rd
Greensburg, PA 15601-6212
Phone (412) 554-0110

Other practice location 1

5142 State Route 30 Ste 160
Greensburg, PA 15601-7865
Phone (724) 830-8750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000942 PA Practitioner - Physical Therapist in Private Practice 7911398094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021268PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1225079023 Past Accepting new patients
The Physical Therapy Institute Past Accepting new patients
The Physical Therapy Institute Physical Therapist Past Accepting new patients
PT Group Acquisition LLC Physical Therapist PastSince Nov 3, 2005 Accepting new patients
Core Network, LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

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, 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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1083901052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GRANGE RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016212",
            "telephone_number": "412-554-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 PA-66",
            "address_2": "SUITE 102",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "15613",
            "telephone_number": "724-727-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5142 State Route 30 Ste 160",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156017865",
            "country_code": "US",
            "telephone_number": "724-830-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apollo, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.