Active NPI
Imelda Ashmore, PT
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1467656975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13974
- Practice address
- 20 Barkley Cir Ste 103
Fort Myers, FL 33907-4545 - Phone
- (239) 275-2090
- NPI assigned
- Jun 11, 2007
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | PT13974 | FL | Primary |
Addresses
Primary practice location
20 Barkley Cir Ste 103
Fort Myers, FL 33907-4545
Mailing address
212 Roosevelt Ave
Lehigh Acres, FL 33972-5442
Phone (239) 369-9100
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 |
|---|---|---|---|
| PT13974 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Therapy Providers Inc | Physical Therapist | Past | Accepting new patients |
| Integrated Therapy Practice, PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Cape Coral, FL
- NPI 1669514113
-
- Physical Therapy Clinic/Center
- Hobart, IN
- NPI 1922033083
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467656975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ROOSEVELT AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339725442",
"telephone_number": "239-369-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BARKLEY CIR STE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074545",
"telephone_number": "239-275-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHMORE",
"first_name": "IMELDA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT13974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Monika Arya, M.D.
- ASC Anesthesia Services of Southwest Florida LLC
- Ascend Behavioral Health Services LLC
- Asclepiushealthgroup,LLC (Wellness Institute of Downtown)
- John Ashman
- Asif H Choudhury MD PA (Florida Digestive Care)
- Zaheer Aslam, MD
- Steven Michael Aslanides, MSN, RN, PMHNP-BC
- Bindu Asok Kumar, APRN
- Barbara Asorian, APRN, MSN, ACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.