Individual provider Active NPI

Ashley Brown, DPT

  • Physical Therapist
  • Sammamish, WA
National Provider Identifier
1407283187
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60535851 Issued in WA
Practice address
2850 228TH Ave SE
Suite B
Sammamish, WA 98075-9301
Phone
(425) 391-4488
Fax
(425) 391-8287
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 PT60535851 WA Primary

Addresses

Primary practice location

2850 228TH Ave SE
Suite B
Sammamish, WA 98075-9301

Mailing address

2850 228TH Ave SE
Suite B
Sammamish, WA 98075-9301
Phone (425) 391-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000066 WA Practitioner - Physical Therapist in Private Practice 1951537778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40527CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Physical Therapy & Sports Rehab, P.S. CurrentSince Mar 30, 2015 Accepting new patients

Locations

2850 228th Ave SE
Ste B
Sammamish, WA 98075
Phone (425) 391-4488

Organizations & group practices 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1407283187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 228TH AVE SE",
            "address_2": "SUITE B",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759301",
            "telephone_number": "425-391-4488",
            "fax_number": "425-391-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 228TH AVE SE",
            "address_2": "SUITE B",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759301",
            "telephone_number": "425-391-4488",
            "fax_number": "425-391-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60535851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.