Individual provider Active NPI

Ashley Heller, PT

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1235576133
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40127 Issued in CA
Practice address
235 Via San Andreas
San Clemente, CA 92672-3712
Phone
(949) 498-0599
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40127 CA Primary

Addresses

Primary practice location

235 Via San Andreas
San Clemente, CA 92672-3712

Mailing address

235 Via San Andreas
San Clemente, CA 92672-3712
Phone (949) 498-0599

Other names 1

  • Ms. Ashley Pardoen Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40127CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Santa Margarita Physical Therapy Sports Medicine Inc CurrentSince Jun 3, 2013 Accepting new patients
Scor Physical Therapy Inc Physical Therapist CurrentSince Jun 3, 2013 Accepting new patients

Locations

29803 Santa Margarita Pkwy
Rcho Sta Marg, CA 92688
Phone (949) 459-9010

653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122

Organizations & group practices 2

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1235576133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 VIA SAN ANDREAS",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723712",
            "telephone_number": "949-498-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 VIA SAN ANDREAS",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723712",
            "telephone_number": "949-498-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PARDOEN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.