Ashley Lauren Irvin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003206 Issued in GA

Practice address

8624 Shoreline Dr
Jonesboro, GA 30236-4053

Phone

(404) 791-0513

NPI assigned

Nov 11, 2020

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

• Ms. Ashley Lauren Bierzonski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Intuitive Choice Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Jonesboro, GA
  • NPI 1912518408
  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1235731696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 SHORELINE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364053",
            "telephone_number": "404-791-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 SHORELINE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364053",
            "telephone_number": "404-791-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BIERZONSKI",
            "middle_name": "LAUREN",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chareunphone T Inthirat, DMD
• Intuitive Choice Physical Therapy and Wellness, LLC
• Inwood Therapeutic Services LLC
• Titi A Ipadeola
• Sohail Iqbal, M.D
• Abigail Israel
• Angelijica Ivey
• Destiny Jackson
• Lakeshia Jackson
• Witni Jackson

• Physical Therapy Assistant in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.