Individual provider Active NPI

Ashley M. C. Deco, OT, CHT

  • Occupational Therapist
  • Lakeland, FL
National Provider Identifier
1114380144
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12243 Issued in NC
Practice address
4725 US Highway 98 S Ste 101-102
Lakeland, FL 33812-4334
Phone
(813) 978-9700
NPI assigned
Mar 29, 2016
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 12243 NC Primary

Addresses

Primary practice location

4725 US Highway 98 S Ste 101-102
Lakeland, FL 33812-4334

Mailing address

1888 15TH St NW
Winter Haven, FL 33881-1302
Phone (863) 956-6800

Other practice location 1

3175 Elua St Ste A
Lihue, HI 96766-1203
Phone (808) 378-4748

Other names 1

  • Ashley M. Coudron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12243NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL Multi-Specialty CurrentSince Nov 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered Multi-Specialty Current Accepting new patients
Musculoskeletal Institute Chartered Multi-Specialty CurrentSince Oct 9, 2023 Accepting new patients
Musculoskeletal Institute Chartered Multi-Specialty CurrentSince Oct 9, 2023 Accepting new patients
Island Hand Therapy Clinic LLC Multi-Specialty CurrentSince Nov 15, 2021 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Nov 12, 2024 Accepting new patients
Hawaiian Rehabilitation Services Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

4725 US Highway 98 S
Ste 101102
Lakeland, FL 33812
Phone (863) 274-9700

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (229) 393-5185

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

75-165 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-0591

75-165 Hualalai Rd
Ste 100
Kailua Kona, HI 96740
Phone (808) 329-0591

3175 Elua St
Ste A
Lihue, HI 96766
Phone (808) 378-4748

Organizations & group practices 7

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1114380144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 15TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811302",
            "telephone_number": "863-956-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 US HIGHWAY 98 S STE 101-102",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124334",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 Elua St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661203",
            "country_code": "US",
            "telephone_number": "808-378-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECO",
        "first_name": "ASHLEY",
        "middle_name": "M. C.",
        "credential": "OT, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "COUDRON",
            "middle_name": "M.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.