Ashley Holmberg, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006756 Issued in CT

Practice address

101 Lebanon Rd
North Franklin, CT 06254-1706

Phone

(860) 235-4846

NPI assigned

Jan 25, 2007

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Therapeutix PC

  • Occupational Therapy Assistant
  • New London, CT
  • NPI 1245385426

  Physical Therapist

  NPD (past)
• Shoreline Physical Therapy, LLC

  • Physical Therapist
  • East Lyme, CT
  • NPI 1841489168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1306991500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEBANON RD",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541706",
            "telephone_number": "860-235-4846",
            "fax_number": "860-642-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEBANON RD",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541706",
            "telephone_number": "860-235-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Norwich New London Tpke",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Uncasville",
            "state": "CT",
            "postal_code": "063822518",
            "country_code": "US",
            "telephone_number": "860-848-9157 x17",
            "fax_number": "860-848-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080006756CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel T Glenney, M.D.
• Kimberly Nicole Godin, DPT
• Adam W. Green, M.D.
• Kayla Hall, DPT
• Michael J Halperin, M.D.
• Victoria Huth, DPT
• Jennifer Davis-Muller Therapy LLC
• Tarik Kardestuncer, MD
• Megan D Lapierre
• Loveleigh Therapy LLC

• Physical Therapist in North Franklin, CT
• Providers in North Franklin, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.