Ashley Porter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015265 Issued in GA

Practice address

3760 Sixes Rd Ste 130
Canton, GA 30114-8196

Phone

(470) 863-6738

NPI assigned

May 25, 2021

Last updated

Feb 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1265007801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 SIXES RD STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148196",
            "telephone_number": "470-863-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SIXES RD STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148196",
            "telephone_number": "470-863-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT015265",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Pipon, DC
• Jessica Ann Pitts, MT-BC
• Stefanie S Poole, M.ED., P.P.S.
• Mark Popovici
• Carla D Porche, CRNA
• Damhnait Porter, DPT
• William E Porter, M.D.
• Robert A. Portillo, D.C.
• Peter William Possert, MD
• Stephanie Nicole Post

• Physical Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.