Active NPI
Ashley Taylor Courson, PTA
- Physical Therapy Assistant
- Jacksonville, FL
National Provider Identifier
1457029134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30012
- Practice address
- 6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298 - Phone
- (904) 945-7556
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA30012 | FL | Primary |
Addresses
Primary practice location
6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298
Mailing address
3811 Millpoint Dr
Jacksonville, FL 32257-8933
Phone (321) 277-1915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA30012 | Other | FL | FL-DOH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.linkedin.com/in/ashley-courson-9432411a2/ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA30012 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1457029134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 MILLPOINT DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578933",
"telephone_number": "321-277-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY STE 1602",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166298",
"telephone_number": "904-945-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURSON",
"first_name": "ASHLEY",
"middle_name": "TAYLOR",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL-DOH",
"identifier": "PTA30012",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.linkedin.com/in/ashley-courson-9432411a2/",
"affiliation": "N",
"address_1": "6817 Southpoint Pkwy Ste 1602",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322166298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.