Active NPI
Ashley Marie Johnson, PTA
- Physical Medicine & Rehabilitation Physician
- Richmond, VA
National Provider Identifier
1114579646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2306604913
- Practice address
- 6627 W Broad St
Richmond, VA 23230-1732 - Phone
- (804) 516-8440
- NPI assigned
- Jul 15, 2019
- Last updated
- Jul 24, 2025
- 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 Medicine & Rehabilitation Physician | 208100000X | 2306604913 | VA | Primary |
Addresses
Primary practice location
6627 W Broad St
Richmond, VA 23230-1732
Mailing address
8334 Mary Mundie LN
Mechanicsville, VA 23111-1898
Phone (804) 516-8440
Other practice location 1
2300 Cedarfield Pkwy
Richmond, VA 23233-1936
Phone (804) 474-8800
Other names 1
- Ashley Marie Dintaman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306604913 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab JV LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1114579646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8334 MARY MUNDIE LN",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231111898",
"telephone_number": "804-516-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301732",
"telephone_number": "804-516-8440"
}
],
"practiceLocations": [
{
"address_1": "2300 Cedarfield Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232331936",
"country_code": "US",
"telephone_number": "804-474-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2306604913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "DINTAMAN",
"middle_name": "MARIE",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.