Active NPI
Ashen Kixmiller
- Physical Therapy Assistant
- Crawfordsville, IN
National Provider Identifier
1205833100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06002760A
- Practice address
- 402 W Market St
Crawfordsville, IN 47933-1634 - Phone
- (765) 362-6740
- Fax
- (765) 362-6750
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06002760A | IN | Primary |
Addresses
Primary practice location
402 W Market St
Crawfordsville, IN 47933-1634
Mailing address
402 W Market St
Crawfordsville, IN 47933-1634
Phone (765) 362-6740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06002760A | Other | IN | PHY. THER. ASS'T LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002760A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205833100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W MARKET ST",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331634",
"telephone_number": "765-362-6740",
"fax_number": "765-362-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W MARKET ST",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331634",
"telephone_number": "765-362-6740",
"fax_number": "765-362-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIXMILLER",
"first_name": "ASHEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002760A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHY. THER. ASS'T LICENSE",
"identifier": "06002760A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.