Individual provider Active NPI

Ashley Elizabeth Leacock, PT, DPT

  • Physical Therapist
  • Hood River, OR
National Provider Identifier
1124615158
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63942 Issued in OR
Practice address
1700 12TH St
Hood River, OR 97031-9004
Phone
(541) 716-1316
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 63942 OR Primary

Addresses

Primary practice location

1700 12TH St
Hood River, OR 97031-9004

Mailing address

1036 Multnomah Rd
Hood River, OR 97031-8703
Phone (425) 647-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011001041 WA Practitioner - Physical Therapist in Private Practice 1850738618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

3125 Old Fairhaven Pkwy
Suite 103
Bellingham, WA 98225-8266
Phone (360) 715-1152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63942ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. CurrentSince Aug 1, 2024 Accepting new patients
Capstone Health Services Inc. Physical Therapist Current Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Columbia Gorge Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

3125 Old Fairhaven Pkwy
Ste 103
Bellingham, WA 98225
Phone (360) 354-1115

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1124615158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 MULTNOMAH RD",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318703",
            "telephone_number": "425-647-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319004",
            "telephone_number": "541-716-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.