Active NPI
Ashley Keller Harbour
- Physical Therapist
- Hernando, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7869
- Practice address
- 2018 McIngvale Rd Ste 102
Hernando, MS 38632-8706 - Phone
- (662) 298-2276
- Fax
- (662) 298-2278
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-5320 | AR | |
| Physical Therapist | 225100000X | PT7869 | MS | Primary |
Addresses
Primary practice location
2018 McIngvale Rd Ste 102
Hernando, MS 38632-8706
Mailing address
2018 McIngvale Rd Ste 102
Hernando, MS 38632-8706
Phone (662) 298-2276
Other practice location 1
105B Quality Ln
Senatobia, MS 38668-2317
Phone (662) 562-9977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2018 McIngvale Rd
Suite 102
Hernando, MS 38632-8706
Phone (662) 298-2276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-5320 | AR | MD | Physical Therapist |
| PT7869 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
2018 McIngvale Rd
Ste 102
Hernando, MS 38632
Phone (662) 298-2276
105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977
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": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1144902800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 MCINGVALE RD STE 102",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386328706",
"telephone_number": "662-298-2276",
"fax_number": "662-298-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 MCINGVALE RD STE 102",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386328706",
"telephone_number": "662-298-2276",
"fax_number": "662-298-2278"
}
],
"practiceLocations": [
{
"address_1": "105B Quality Ln",
"address_purpose": "LOCATION",
"city": "Senatobia",
"state": "MS",
"postal_code": "386682317",
"country_code": "US",
"telephone_number": "662-562-9977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARBOUR",
"first_name": "ASHLEY",
"middle_name": "KELLER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT-5320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT7869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.