Individual provider Active NPI

Ashli Taylor Collins, OTR/L

  • Occupational Therapist
  • Morristown, TN
National Provider Identifier
1487261764
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6452 Issued in TN
Practice address
1615 E Andrew Johnson Hwy
Morristown, TN 37814-5401
Phone
(423) 317-7772
Fax
(423) 317-7773
NPI assigned
Sep 30, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6452 TN Primary

Addresses

Primary practice location

1615 E Andrew Johnson Hwy
Morristown, TN 37814-5401

Mailing address

1615 E Andrew Johnson Hwy
Morristown, TN 37814-5401
Phone (423) 317-7772

Other practice location 1

410 N Broad St
New Tazewell, TN 37825-6606
Phone (423) 381-8813

Other practice location 2

1030 Main St
Bean Station, TN 37708-4257
Phone (865) 935-8111

Other identifiers 1

IdentifierTypeStateIssuer
6452OtherTNLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL webpt.com Health Information Exchange (HIE) Jordan C Black

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
6452TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Specialists, Inc. Past Accepting new patients
Tristar Physical Therapy LLC PastSince Jul 3, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487261764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145401",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145401",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Main St",
            "address_purpose": "LOCATION",
            "city": "Bean Station",
            "state": "TN",
            "postal_code": "377084257",
            "country_code": "US",
            "telephone_number": "865-935-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ASHLI",
        "middle_name": "TAYLOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6452",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webpt.com",
            "affiliation": "Y",
            "affiliationName": "Jordan C Black",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1615 E Andrew Johnson Hwy",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378145401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.