Active NPI
Ashley C Ezell, DPT
- Physical Therapist
- Athens, AL
National Provider Identifier
1467852905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6443
- Practice address
- 22292 US Highway 72
Athens, AL 35613-2604 - Phone
- (256) 233-2313
- Fax
- (256) 233-8577
- NPI assigned
- Sep 3, 2014
- Last updated
- Sep 3, 2014
- 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 | PTH6443 | AL | Primary |
Addresses
Primary practice location
22292 US Highway 72
Athens, AL 35613-2604
Mailing address
22292 US Highway 72
Athens, AL 35613-2604
Phone (256) 233-2313
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 |
|---|---|---|---|
| PTH6443 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1467852905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22292 US HIGHWAY 72",
"city": "ATHENS",
"state": "AL",
"postal_code": "356132604",
"telephone_number": "256-233-2313",
"fax_number": "256-233-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22292 US HIGHWAY 72",
"city": "ATHENS",
"state": "AL",
"postal_code": "356132604",
"telephone_number": "256-233-2313",
"fax_number": "256-233-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "ASHLEY",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.