Individual provider Active NPI

Ashley Kaiser, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1396221644
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30128 Issued in AZ
Practice address
2472 N Pantano Rd
Tucson, AZ 85715-3743
Phone
(520) 722-1795
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30128 AZ Primary

Addresses

Primary practice location

2472 N Pantano Rd
Tucson, AZ 85715-3743

Mailing address

2472 N Pantano Rd
Tucson, AZ 85715-3743
Phone (928) 614-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180831000899 AZ Practitioner - Physical Therapist in Private Practice 9638429236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Treatment Zone Physical Therapy LLCGroup PAC ID 6709982812, 3 clinicians

Practice addresses (Care Compare)

2462 N Pantano Rd
Unit 1
Tucson, AZ 85715-3746
Phone (520) 722-1795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30128AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corebalance Therapy LLC CurrentSince Jul 20, 2018 Accepting new patients
Ultimate Treatment Zone Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

2912 N West St
Flagstaff, AZ 86004
Phone (928) 214-7430

906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935

2472 N Pantano Rd
Tucson, AZ 85715
Phone (520) 722-1795

2462 N Pantano Rd
Unit 1
Tucson, AZ 85715
Phone (520) 722-1795

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1396221644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153743",
            "telephone_number": "928-614-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153743",
            "telephone_number": "520-722-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.