Ashley M McCollough, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07502 Issued in LA

Practice address

9462 Ellerbe Rd Ste 200
Shreveport, LA 71106-7446

Phone

(318) 606-5262

Fax

(318) 606-5351

NPI assigned

Jun 25, 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 identifiers 1

Other names 1

• Ashley McGarity Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fultz Physical Therapy and Joint Rehab LLCGroup PAC ID 3072850486, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fultz Physical Therapy and Joint Rehab, LLC

  • Physical Therapist
  • Shreveport, LA
  • NPI 1912473034
  Medicare reassignment Care Compare group NPD
• Beltway PT Clinic, LLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1780838128
  NPD (past)
• Katy PT Clinic, L.L.C.

  • Physical Therapist
  • Houston, TX
  • NPI 1881832384
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1235755240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80964",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705980964",
            "telephone_number": "337-233-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 ELLERBE RD STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067446",
            "telephone_number": "318-606-5262",
            "fax_number": "318-606-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "07502",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "outlook",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "outlook",
            "address_1": "9462 Ellerbe Rd Ste 200",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711067446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MCGARITY",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Contina McClindon
• Laura L McClintock, D.O.
• Shannon Colleen McCole, AUD
• William L McColgan Jr., DDS
• Faith McCollister
• Bradly Scott McCollum, LCSW
• Natalie McConnell, MD
• Stephanie McConnell, M.A.
• Bruce K McCormick, PHD
• Carla McCormick

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.