Organization Active NPI

Stanley M. Ashton PC, Dba Sport Therapy

  • Physical Therapist
  • Odessa, TX
National Provider Identifier
1508985060
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1078160 Issued in TX
Legal business name
STANLEY M. ASHTON PC, DBA SPORT THERAPY
Practice address
2651 JBS Pkwy.
Ste. a
Odessa, TX 79761
Phone
(432) 550-4520
Fax
(432) 550-2480
NPI assigned
Mar 28, 2007
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Stanley M Ashton, PTNPI 1245313113
Title
Owner
Phone
(432) 550-4520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1078160 TX Primary

Addresses

Primary practice location

2651 JBS Pkwy.
Ste. a
Odessa, TX 79761

Mailing address

PO Box 14625
Odessa, TX 79768-4625
Phone (432) 550-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020001335 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052461936 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, TX; Odessa, TX

National Provider Directory

National Provider Directory

Locations

2651 John Ben Shepperd Pkwy
Ste A
Odessa, TX 79761
Phone (432) 550-4520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1508985060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14625",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797684625",
            "telephone_number": "432-550-4520",
            "fax_number": "432-550-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 JBS PKWY.",
            "address_2": "STE. A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-550-4520",
            "fax_number": "432-550-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY M. ASHTON PC, DBA SPORT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-550-4520",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1078160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.