Active NPI
Ashlyn Blythe Thomas, OTR/L
- Occupational Therapist
- Valdosta, GA
National Provider Identifier
1376945246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006011
- Practice address
- 3322 Greystone Way
Suite B
Valdosta, GA 31605-7421 - Phone
- (229) 469-6932
- Fax
- (229) 469-6933
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006011 | GA | Primary |
Addresses
Primary practice location
3322 Greystone Way
Suite B
Valdosta, GA 31605-7421
Mailing address
3322 Greystone Way
Ste B
Valdosta, GA 31605-7422
Phone (229) 469-6932
Other names 1
- Ashlyn Thomas Deloach
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006011 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1376945246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 GREYSTONE WAY",
"address_2": "STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057422",
"telephone_number": "229-469-6932",
"fax_number": "229-469-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 GREYSTONE WAY",
"address_2": "SUITE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057421",
"telephone_number": "229-469-6932",
"fax_number": "229-469-6933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ASHLYN",
"middle_name": "BLYTHE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLYN",
"last_name": "DELOACH",
"middle_name": "THOMAS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valdosta, GA
- The Neurology Clinic of Valdosta PC
- Therapy Center Counseling & Consultation
- Therapy Center Valdosta, LLC
- Thomas Foot and Ankle Clinic LLC
- Amanda Kate Thomas, MED CCC-SLP
- Carly W Thomas, DDS
- Dennis Russell Thomas, M.D.
- Jenna E Thomas, LMSW
- Joseph Stuart Thomas, MD
- Kathleen Anderson Thomas, M.ED CF SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.