Individual provider Active NPI

Ashlee Gribble, DPT

  • Physical Therapist
  • San Jacinto, CA
National Provider Identifier
1427351014
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37374 Issued in CA
Practice address
1604 S Santa Fe Ave Ste 401
San Jacinto, CA 92583-5060
Phone
(951) 487-9317
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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 37374 CA Primary

Addresses

Primary practice location

1604 S Santa Fe Ave Ste 401
San Jacinto, CA 92583-5060

Mailing address

1604 S Santa Fe Ave Ste 401
San Jacinto, CA 92583-5060
Phone (951) 487-9317

Other names 1

  • Ashlee Johnson 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37374CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Phyziotherapy & Athletics Past Accepting new patients
Physical Therapy Solutions Physical Therapist Past Accepting new patients

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1427351014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 S SANTA FE AVE STE 401",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835060",
            "telephone_number": "951-487-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 S SANTA FE AVE STE 401",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835060",
            "telephone_number": "951-487-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBLE",
        "first_name": "ASHLEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.