Ashley Cliatt

Individual provider Active NPI Prosthetist · Rome, GA

NPI 1336944966 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1336944966
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetist 224P00000X
License
JAB7A4T5WV (GA)
Practice address
2003 N Broad St NE
Rome, GA 30161-5309
Phone
(706) 237-7118
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
JAB7A4T5WVGAMDProsthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X JAB7A4T5WV GA Yes

Addresses

Primary practice location

2003 N Broad St NE
Rome, GA 30161-5309

Mailing address

2003 N Broad St NE
Rome, GA 30161-5309
Phone (706) 237-7118

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2025.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1336944966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 N BROAD ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615309",
            "telephone_number": "706-237-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 N BROAD ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615309",
            "telephone_number": "706-237-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIATT",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "JAB7A4T5WV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

All providers in Rome, GA · Prosthetist in Georgia

Sources for this page

Verify at the official NPI Registry.