Individual provider Active NPI

Ashen Kixmiller

  • Physical Therapy Assistant
  • Crawfordsville, IN
National Provider Identifier
1205833100
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06002760A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06002760AOtherINPHY. 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

LicenseStateTypeSpecialty
06002760AINMDPhysical 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.

Verify at the official NPI Registry.