Olivia Ashley, PT
Individual provider Active NPI Physical Therapist · Watertown, MA
NPI 1164475141 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1164475141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17426 (MA)
- Practice address
- 191 Watertown St
Watertown, MA 02472-2571 - Phone
- (617) 630-9778
- Fax
- (617) 930-5202
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peninsula Orthopedic Associates Inc
Practice addresses (Care Compare)
1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2204
Phone (650) 756-5630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302002022 | CA | Practitioner - Physical Therapist in Private Practice | 0446268924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Orthopedic Associates, Inc. | Current |
Accepting new patients |
Locations
1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630
455 Hickey Blvd
Ste 205
Daly City, CA 94015
Phone (650) 746-3299
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17426 | MA | Yes |
Addresses
Primary practice location
191 Watertown St
Watertown, MA 02472-2571
Mailing address
1850 Sullivan Ave
Ste 330
Daly City, CA 94015-2204
Phone (781) 961-9200
Other providers in Watertown, MA
- Richard Arnold
- Arsenal Modern Dentistry, PC
- Art Royal LLC
- Artrelief LLC
- Artrelief LLC
- Ashmi, Inc.
- Asperger/Autism Network Inc.
- Associates in Dermatology, LLC
- Atrius Heallth, Inc.
- Atrius Health, Inc.
All providers in Watertown, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.