Edward Joseph Ash, PT,ATC,OCS,COMT,CSCS

Individual provider Active NPI Orthopedic Physical Therapist · Richfield, OH

NPI 1356491013 · NPPES record last updated Jul 25, 2023

Key facts

NPI
1356491013
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
PT-007745 (OH)
Practice address
3667 Brecksville Rd
Richfield, OH 44286-9667
Phone
(330) 659-4050
Fax
(330) 659-4052
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activ Physical Therapy, LLC (6 clinicians)

Practice addresses (Care Compare)

3667 Brecksville Rd
Richfield, OH 44286-9667
Phone (330) 659-4050

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050221000033 OH Practitioner - Physical Therapist in Private Practice 2264484096 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1331AKMDGeneral Practice Dentistry
PT-007745OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activ Physical Therapy, LLC Current
since Jul 11, 2007
Accepting new patients
Michael M Supler & Associates Inc Past
since Feb 15, 1999
Accepting new patients

Locations

3667 Brecksville Rd
Richfield, OH 44286
Phone (330) 659-4050

3807 Brecksville Rd
Ste 4
Richfield, OH 44286
Phone (330) 523-7020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-007745 OH Yes

Addresses

Primary practice location

3667 Brecksville Rd
Richfield, OH 44286-9667

Mailing address

3667 Brecksville Rd
Richfield, OH 44286-9667
Phone (330) 659-4050

Other identifiers

IdentifierTypeStateIssuer
1407072275OtherOHNPI-FACILITY
205644547-00OtherOHBWC-GROUP
000000531136OtherOHANTHEM

Other providers in Richfield, OH

All providers in Richfield, OH · Orthopedic Physical Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.