NPIMap

Individual provider Active NPI

Ashley Anne Fahrion, LMP

  • Mechanotherapist
  • Camas, WA
National Provider Identifier
1346595386
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA 60288718 Issued in WA
Practice address
19215 SE 34TH St
#102
Camas, WA 98607-8829
Phone
(360) 882-7733
Fax
(360) 254-6821
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 60288718 WA Primary

Addresses

Primary practice location

19215 SE 34TH St
#102
Camas, WA 98607-8829

Mailing address

19215 SE 34TH St
#102
Camas, WA 98607-8829
Phone (360) 882-7733

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA 60288718WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
180 Bodyworks LLC Current Accepting new patients
Priority Life Chiropractic & Massage LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1346595386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 SE 34TH ST",
            "address_2": "#102",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078829",
            "telephone_number": "360-882-7733",
            "fax_number": "360-254-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 SE 34TH ST",
            "address_2": "#102",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078829",
            "telephone_number": "360-882-7733",
            "fax_number": "360-254-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRION",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 60288718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.