Active NPI
Ashley Brooke Conklin, PT, DPT, PCS
- Pediatric Physical Therapist
- Hamilton, NJ
National Provider Identifier
1285864454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 40QA01385200
- Practice address
- 470 Paxson Ave Therabilities Pediatric Therapy Services
Hamilton, NJ 08690-4724 - Phone
- (914) 419-1050
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | NY | ||
| Pediatric Physical Therapist | 2251P0200X | 40QA01385200 | NJ | Primary |
Addresses
Primary practice location
470 Paxson Ave Therabilities Pediatric Therapy Services
Hamilton, NJ 08690-4724
Mailing address
470 Paxson Ave
Hamilton, NJ 08690-4724
Phone (914) 419-1050
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1285864454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 PAXSON AVE",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086904724",
"telephone_number": "914-419-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 PAXSON AVE THERABILITIES PEDIATRIC THERAPY SERVICES",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086904724",
"telephone_number": "914-419-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "ASHLEY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "PT, DPT, PCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA01385200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.