Individual provider Active NPI

Ashley Dawn Pearce, PT

  • Physical Therapist
  • Hermiston, OR
National Provider Identifier
1336534049
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06158 Issued in OR
Practice address
1050 W Elm Ave Ste 130
Hermiston, OR 97838-2713
Phone
(541) 567-5678
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06158 OR Primary

Addresses

Primary practice location

1050 W Elm Ave Ste 130
Hermiston, OR 97838-2713

Mailing address

1050 W Elm Ave Ste 130
Hermiston, OR 97838-2713
Phone (541) 567-5678

Other names 1

  • Ashley Dawn Rysdam Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oregon Physical Therapy Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Eastern Oregon Physical Therapy Hermiston LLC Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Ben Booher DO LLC Past Accepting new patients

Locations

1050 W Elm Ave
Ste 130
Hermiston, OR 97838
Phone (541) 567-5678

1725 N 1st St
Ste D
Hermiston, OR 97838
Phone (541) 567-5678

1100 Southgate
Ste 15
Pendleton, OR 97801
Phone (541) 276-4011

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1336534049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W ELM AVE STE 130",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382713",
            "telephone_number": "541-567-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ELM AVE STE 130",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382713",
            "telephone_number": "541-567-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "RYSDAM",
            "middle_name": "DAWN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.