Ashley Nicole Gassaway, OTR/L
Individual provider Active NPI Specialist · Joplin, MO
NPI 1295043719 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1295043719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 2010028133 (MO)
- Practice address
- 1101 Goetz Blvd
Joplin, MO 64801-1431 - Phone
- (417) 629-3044
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028133 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Potential Therapy Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2010028133 | MO | Yes |
Addresses
Primary practice location
1101 Goetz Blvd
Joplin, MO 64801-1431
Mailing address
1983 S Farm Road 69
Republic, MO 65738-2690
Phone (417) 619-1424
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. 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.