Individual provider Active NPI

Stanley M Ashton, PT

  • Physical Therapist
  • Odessa, TX
National Provider Identifier
1245313113
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1078160 Issued in TX
Practice address
2651 JBS Pkwy.
Ste.a
Odessa, TX 79761
Phone
(432) 550-4520
Fax
(432) 550-2480
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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 1078160 TX Primary

Addresses

Primary practice location

2651 JBS Pkwy.
Ste.a
Odessa, TX 79761

Mailing address

PO Box 14625
Odessa, TX 79768
Phone (432) 550-4520

Other identifiers 3

IdentifierTypeStateIssuer
7599479OtherAETNA
83838TOtherTXBCBS
087742501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000060 TX Practitioner - Physical Therapist in Private Practice 2264581461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2651 John Ben Shepperd Pkwy
Suite a
Odessa, TX 79761-1971
Phone (432) 550-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley M. Ashton PC, Dba Sport Therapy Physical Therapist CurrentSince Mar 25, 2009 Accepting new patients

Locations

2651 John Ben Shepperd Pkwy
Ste A
Odessa, TX 79761
Phone (432) 550-4520

Organizations & group practices 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1245313113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14625",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79768",
            "telephone_number": "432-550-4520",
            "fax_number": "432-550-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 JBS PKWY.",
            "address_2": "STE.A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-550-4520",
            "fax_number": "432-550-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "STANLEY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1078160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7599479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83838T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087742501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.