Individual provider Active NPI

Ashley Mathews Wood, PHYSICAL THERAPIST

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1275052672
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087221 Issued in IA
Practice address
2300 John F Kennedy Rd
Dubuque, IA 52002-2843
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 087221 IA Primary

Addresses

Primary practice location

2300 John F Kennedy Rd
Dubuque, IA 52002-2843

Mailing address

1705 Delhi Street, Lower Level
Dubuque, IA 52001-5901
Phone (563) 582-4170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000570 IA Practitioner - Physical Therapist in Private Practice 3375818610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason E Meyer Physical Therapy PCGroup PAC ID 8325136617, 15 clinicians

Practice addresses (Care Compare)

2300 John F Kennedy Rd
Suite 1
Dubuque, IA 52002-2843
Phone (563) 588-3891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087221IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason E Meyer Physical Therapy PC CurrentSince Oct 1, 2017 Accepting new patients
Dubuque Pediatric Therapies Physical Therapist Past Accepting new patients

Locations

1705 Delhi St
Lowr
Dubuque, IA 52001
Phone (563) 582-4170

2300 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 588-3891

2300 John F Kennedy Rd
Ste 1
Dubuque, IA 52002
Phone (563) 588-3891

Organizations & group practices 2

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1275052672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DELHI STREET, LOWER LEVEL",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015901",
            "telephone_number": "563-582-4170",
            "fax_number": "563-582-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022843",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ASHLEY",
        "middle_name": "MATHEWS",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.