Active NPI
Ashley Herlocker, P.T.
- Physical Therapist
- Hinesville, GA
National Provider Identifier
1437404035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010675
- Practice address
- 475 S Main St
Hinesville, GA 31313-4333 - Phone
- (912) 368-4131
- Fax
- (912) 368-4132
- NPI assigned
- Jul 19, 2012
- Last updated
- Jun 8, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010675 | GA | Primary |
Addresses
Primary practice location
475 S Main St
Hinesville, GA 31313-4333
Mailing address
PO Box 370
Fortson, GA 31808-0370
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 |
|---|---|---|---|
| PT010675 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1437404035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S MAIN ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134333",
"telephone_number": "912-368-4131",
"fax_number": "912-368-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERLOCKER",
"first_name": "ASHLEY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.