Individual provider Active NPI

Ashley Dembeck, PT, DPT

  • Neurology Physical Therapist
  • Mount Laurel, NJ
National Provider Identifier
1487118030
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
40QA01843000 Issued in NJ
Practice address
523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3414
Phone
(856) 424-5552
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 40QA01843000 NJ Primary

Addresses

Primary practice location

523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3414

Mailing address

523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3414
Phone (856) 424-5552

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

LicenseStateTypeSpecialty
40QA01843000NJMDNeurology Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1487118030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-424-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-424-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBECK",
        "first_name": "ASHLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA01843000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.