Individual provider Active NPI

Carrie Jean Ashworth, L.M.P.

  • Mechanotherapist
  • Vancouver, WA
National Provider Identifier
1366625287
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00022474 Issued in WA
Practice address
8221 NE Hazel Dell Ave
Suite 104
Vancouver, WA 98665-8153
Phone
(360) 991-3493
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA00022474 WA Primary

Addresses

Primary practice location

8221 NE Hazel Dell Ave
Suite 104
Vancouver, WA 98665-8153

Mailing address

3617 NW 119TH St
Vancouver, WA 98685-3510
Phone (360) 991-3493

Other names 1

  • Carrie Jean Bobbitt 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00022474WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1366625287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 NW 119TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853510",
            "telephone_number": "360-991-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE",
            "address_2": "SUITE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-991-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "CARRIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00022474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BOBBITT",
            "middle_name": "JEAN",
            "credential": "L.M.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.