Individual provider Active NPI

Ashton Taylor Canady, PT, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1497578447
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42446 Issued in FL
Practice address
910 S Winterhawk Dr Unit 107
St Augustine, FL 32086-3870
Phone
(904) 217-3914
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 PT42446 FL Primary

Addresses

Primary practice location

910 S Winterhawk Dr Unit 107
St Augustine, FL 32086-3870

Mailing address

910 S Winterhawk Dr Unit 107
St Augustine, FL 32086-3870
Phone (843) 270-7197

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT42446FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ancient City Children'S Therapy, LLC PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 1

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1497578447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR UNIT 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "843-270-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR UNIT 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "ASHTON",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.