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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 29434FLMDPhysical Therapist
08439RLAMDPhysical Therapist
1368660TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physio Physical Therapy Current
since Feb 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Aubrey, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.