Ashley Ivey Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Beulaville, NC
NPI 1306104104 · NPPES record last updated Apr 30, 2012
Key facts
- NPI
- 1306104104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4597 (NC)
- Practice address
- 159 Crossover Rd
Beulaville, NC 28518-8801 - Phone
- (910) 298-6455
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 4597 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards and Associates Physical Therapy | Past |
Accepting new patients | |
| Carolina Rehabilitation Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4597 | NC | Yes |
Addresses
Primary practice location
159 Crossover Rd
Beulaville, NC 28518-8801
Mailing address
159 Crossover Rd
Beulaville, NC 28518-8801
Phone (910) 298-6455
Other providers in Beulaville, NC
- Advantage OT Inc.
- Advantage OT, PC
- Virginia Williams Albertson
- Laurie Alejo
- Alternative Care Treatment Systems, Inc-Beulaville
- Autumn Village, Inc.
- Gary Batts
- Beulaville Chiropractic PLLC
- Beulaville Eye Care, Inc.
- Beulaville Pharmacy Inc
All providers in Beulaville, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2012. 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.