Ashley Alaine Trahan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27382 Issued in FL

Practice address

86 Lynn Dr
Santa Rosa Beach, FL 32459-4200

Phone

(850) 267-9010

Fax

(850) 267-0677

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Performance Physical Therapy and Fitness, LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1912931437
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1174825905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LYNN DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594200",
            "telephone_number": "504-315-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 LYNN DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594200",
            "telephone_number": "850-267-9010",
            "fax_number": "850-267-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "ASHLEY",
        "middle_name": "ALAINE",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07967",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GG466Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal C Tidwell, DO
• Natalie Yazdani Tidwell, M.D.
• Tjal Enterprises Inc. (Santa Rosa Beach Counseling)
• TMJ & Sleep Center LLC
• Cynthia C Townsend, ARNP, FNP-BC
• Lauren Elizabeth Trapp, R.D., L.D.
• Gale Timothy Tuper Jr., MD
• Unbreakable Performance Therapy PLLC
• Rickey J Viator, M.D.
• Cu'Keyia Vicks

• Physical Therapist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.