Individual provider Active NPI

Ashley N Heilman, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1104115609
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021183 Issued in PA
Practice address
9475 Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone
(215) 464-6200
Fax
(215) 464-9834
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 PT021183 PA Primary

Addresses

Primary practice location

9475 Roosevelt Blvd
Philadelphia, PA 19114-2212

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other names 1

  • Ashley N Eisennagel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000442 PA Practitioner - Physical Therapist in Private Practice 5193903201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1100 S Christopher Columbus Blvd
Ati Physical Therapy
Philadelphia, PA 19147-5513
Phone (367) 592-4508

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021183PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 4, 2011 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 4, 2011 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

307 E Street Rd
Feasterville Trevose, PA 19053
Phone (267) 989-2278

775 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 690-5575

1753 Kendarbren Dr
Ste 610
Jamison, PA 18929
Phone (215) 343-2141

2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508

468 2nd Street Pike
Southampton, PA 18966
Phone (215) 876-6692

1109 N Bethlehem Pike
Unit A
Spring House, PA 19477
Phone (215) 367-1347

630 Easton Rd
Warrington, PA 18976
Phone (215) 491-5961

680 Stony Hill Rd
Unit 8
Yardley, PA 19067
Phone (215) 595-2646

Organizations & group practices 2

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1104115609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142212",
            "telephone_number": "215-464-6200",
            "fax_number": "215-464-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "EISENNAGEL",
            "middle_name": "N",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.