Individual provider Active NPI

Joseph Elliott Ashburn, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1467648998
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11618 Issued in NC
Practice address
5324 Glen Canyon Rd
Raleigh, NC 27616-5865
Phone
(330) 338-0369
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 11618 NC Primary

Addresses

Primary practice location

5324 Glen Canyon Rd
Raleigh, NC 27616-5865

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000062 NC Practitioner - Physical Therapist in Private Practice 1254404379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashburn Physical Therapy IncGroup PAC ID 6103999222, 2 clinicians

Practice addresses (Care Compare)

Raleigh, NC 27604
Phone (919) 573-0894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11618NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashburn Physical Therapy Inc Physical Therapist CurrentSince May 16, 2008 Accepting new patients
Integrated Therapy NC, LLC Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Life Clinic of NC PC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309

7011 Fayetteville Rd
Ste 106
Durham, NC 27713
Phone (919) 521-5436

357 Carolina Arbors Dr
Durham, NC 27703
Phone (919) 521-5436

601 E Six Forks Rd
Raleigh, NC 27609
Phone (404) 351-5309

Organizations & group practices 4

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1467648998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 GLEN CANYON RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165865",
            "telephone_number": "330-338-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "JOSEPH",
        "middle_name": "ELLIOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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