Active NPI
Ashley Daitol
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1275888653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8888
- Practice address
- 2274 Reed Grass Way
Colorado Springs, CO 80915-2074 - Phone
- (719) 243-8209
- NPI assigned
- Jul 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8888 | CO | Primary |
Addresses
Primary practice location
2274 Reed Grass Way
Colorado Springs, CO 80915-2074
Mailing address
2274 Reed Grass Way
Colorado Springs, CO 80915-2074
Phone (719) 243-8209
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8888 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kare Partners | Past | Accepting new patients |
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.
-
- Exclusive Provider Organization
- Colorado Springs, CO
- NPI 1669727038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1275888653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 REED GRASS WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809152074",
"telephone_number": "719-243-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 REED GRASS WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809152074",
"telephone_number": "719-243-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAITOL",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.