Ashley Kristen Millikan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8834A Issued in AZ

Practice address

2852 N Navajo Dr Ste a
Prescott Valley, AZ 86314-4966

Phone

(928) 772-9797

NPI assigned

May 23, 2011

Last updated

Sep 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.

  • Physical Therapy Clinic/Center
  • Prescott Valley, AZ
  • NPI 1831149913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1083907117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 E PALM LN UNIT 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083129",
            "telephone_number": "602-689-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 N NAVAJO DR STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863144966",
            "telephone_number": "928-772-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKAN",
        "first_name": "ASHLEY",
        "middle_name": "KRISTEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nada Mickelson, NP
• Tina Renee Mickle, FNP-C
• Aimee Susanne Midkiff, CCG
• Preston David Miller, PA-C
• Steven Chase Miller, LMT
• Mingus Mountain Estate Residencial Center, Inc.
• Mingus Mountain Estate Residential Center Inc
• Mingus Mountain Estate Residential Center Inc
• Mingus Mountain Estate Residential Center Inc.
• Angelika Marie Mitchell, LCSW

• Physical Therapy Assistant in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.