Ashley Rae Watamura, PT, DPT, PHD (C)

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14076 Issued in NC

Practice address

3971 Little Savannah Rd Suite 113
Cullowhee, NC 28723

Phone

(828) 293-5174

Fax

(828) 293-0008

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley W Hyatt Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smoky Mountain Sports Medicine and Physical Therapy, Inc.Group PAC ID 6002180387, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Smoky Mountain Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Sylva, NC
  • NPI 1710419619
  Medicare reassignment Care Compare group
• Custom Nutrition & Wellness LLC

  • Registered Dietitian
  • Cullowhee, NC
  • NPI 1538768577
  NPD (past)

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1225731920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 LITTLE SAVANNAH HWY",
            "address_2": "228 HEALTH AND HUMAN SCIENCES BUILDING",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "28723",
            "telephone_number": "828-227-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 LITTLE SAVANNAH RD SUITE 113",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "28723",
            "telephone_number": "828-293-5174",
            "fax_number": "828-293-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 E Main St # 1",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287793030",
            "country_code": "US",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATAMURA",
        "first_name": "ASHLEY",
        "middle_name": "RAE",
        "credential": "PT, DPT, PHD (C)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HYATT",
            "middle_name": "W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Winston Truett Jr., MD
• Jayden Antonio Velez
• Gabrielle Morgan Villa
• Asa Walker, DPT, LAT, ATC, CSCS
• Elizabeth Wall-Bassett, MS, PHD
• Wcu Health Services
• Lauren Webb, PA-C
• Jessica Renee Webster
• Western Carolina University
• Western Carolina University Controllers Office

• Physical Therapist in Cullowhee, NC
• Providers in Cullowhee, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.