Individual provider Active NPI

Ashtyn Rose Prielozny, DPT

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1144641598
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011096 Issued in GA
Practice address
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone
(706) 324-6661
NPI assigned
Jan 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 PT011096 GA Primary

Addresses

Primary practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171

Other practice location 1

2424 Double Churches Rd
Columbus, GA 31909-2741
Phone (706) 324-6112

Other names 1

  • Ashtyn Rose Gibbs Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001823 GA Practitioner - Physical Therapist in Private Practice 8820309719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC CurrentSince Sep 1, 2024 Accepting new patients
Hughston Clinic, P.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

Interoperability endpoints

  • Direct secure messaging: ashtyn.prielozny.1@321.direct.athenahealth.com

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": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1144641598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-324-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 Double Churches Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319092741",
            "country_code": "US",
            "telephone_number": "706-324-6112",
            "fax_number": "706-596-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIELOZNY",
        "first_name": "ASHTYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHTYN",
            "last_name": "GIBBS",
            "middle_name": "ROSE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.