Active NPI
Chas Ashton
- Physical Therapist
- Rockford, IL
National Provider Identifier
1235677675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14500-24
- Practice address
- 5510 E State St
Rockford, IL 61108-2381 - Phone
- (815) 395-4505
- NPI assigned
- Feb 6, 2017
- Last updated
- Sep 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14500-24 | WI | Primary |
| Physical Therapist | 225100000X | 070021689 | IL |
Addresses
Primary practice location
5510 E State St
Rockford, IL 61108-2381
Mailing address
1969 West Hart Rd
Beloit, WI 53511-2283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021689 | IL | MD | Physical Therapist |
| 14500-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Current | Accepting new patients | |
| Saint Anthony Medical Center | Past | Accepting new patients |
Locations
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1548345887
-
dba Hendricks Family Heart Hospital
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
- Rehabilitation Hospital Unit
- Rockford, IL
- NPI 1225378722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1235677675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 WEST HART RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082381",
"telephone_number": "815-395-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHTON",
"first_name": "CHAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-06",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14500-24",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.