Active NPI
Ashley M Markley
- Occupational Therapist
- Blackwood, NJ
National Provider Identifier
1205587367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00854300
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC016122 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Fitness, LLC | Current | 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.
-
- Specialist
- Northfield, NJ
- NPI 1053750588
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.