Aisha Jacasta-Jones Ampah, DPT
Individual provider Active NPI Physical Therapist · Aubrey, TX
NPI 1285034322 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1285034322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1368660 (TX)
- Practice address
- 5112 Sailcloth St
Aubrey, TX 76227-4580 - Phone
- (252) 258-2136
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29434 | FL | MD | Physical Therapist |
| 08439R | LA | MD | Physical Therapist |
| 1368660 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physio | Physical Therapy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 29434 | FL | |
| Physical Therapist | 225100000X | 08439R | LA | |
| Physical Therapist | 225100000X | 42157 | CA | |
| Physical Therapy Clinic/Center | 261QP2000X | 42157 | CA | |
| Physical Therapist | 225100000X | 1368660 | TX | Yes |
Addresses
Primary practice location
5112 Sailcloth St
Aubrey, TX 76227-4580
Mailing address
5112 Sailcloth St
Aubrey, TX 76227-4580
Phone (252) 258-2136
Other practice location 1
5901 Broken Sound Pkwy
Suite 450
Boca Raton, FL 33487-2773
Phone (561) 431-0194
Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.