Individual provider Active NPI

Ashley Diane Negangard, PT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1255636320
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206682 Issued in VA
Practice address
1434 Rolkin CT Ste 201
Charlottesville, VA 22911-3583
Phone
(434) 975-9400
Fax
(434) 975-9401
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 2305206682 VA Primary

Addresses

Primary practice location

1434 Rolkin CT Ste 201
Charlottesville, VA 22911-3583

Mailing address

1434 Rolkin CT Ste 201
Charlottesville, VA 22911-3583
Phone (434) 975-9400

Other names 1

  • Ashley Diane Green 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305206682VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1255636320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 ROLKIN CT STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113583",
            "telephone_number": "434-975-9400",
            "fax_number": "434-975-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 ROLKIN CT STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113583",
            "telephone_number": "434-975-9400",
            "fax_number": "434-975-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGANGARD",
        "first_name": "ASHLEY",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GREEN",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.