Individual provider Active NPI

Ashley M Markley

  • Occupational Therapist
  • Blackwood, NJ
National Provider Identifier
1205587367
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00854300 Issued in NJ
Practice address
100 W Central Ave
Blackwood, NJ 08012-2903
Phone
(609) 617-0581
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016122 PA
Occupational Therapist 225X00000X 46TR00854300 NJ Primary

Addresses

Primary practice location

100 W Central Ave
Blackwood, NJ 08012-2903

Mailing address

100 W Central Ave
Blackwood, NJ 08012-2903
Phone (609) 617-0581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714003397 NJ Practitioner - Occupational Therapist in Private Practice 5698156107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC016122PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

Organizations & group practices 1

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1205587367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122903",
            "telephone_number": "609-617-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122903",
            "telephone_number": "609-617-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016122",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00854300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.