Individual provider Active NPI

Ashley Jackson

  • Rehabilitation Chiropractor
  • Mayfield Heights, OH
National Provider Identifier
1578818548
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC.4413 Issued in OH
Practice address
6009 Landerhaven Dr
C2
Mayfield Heights, OH 44124-4192
Phone
(440) 442-3000
NPI assigned
Jul 17, 2012
Last updated
Nov 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC.4413 OH Primary

Addresses

Primary practice location

6009 Landerhaven Dr
C2
Mayfield Heights, OH 44124-4192

Mailing address

6009 Landerhaven Dr Ste C-2
Mayfield Heights, OH 44124-4192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001290 OH Practitioner - Chiropractic 0840501367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Basic Med LLCGroup PAC ID 8123499605, 2 clinicians

Practice addresses (Care Compare)

275 Graham Rd
Suite 9
Cuyahoga Falls, OH 44223-2259
Phone (330) 945-5555

6009 Landerhaven Dr
Mayfield Heights, OH 44124-4192
Phone (440) 442-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC.4413OHMDRehabilitation Chiropractor
4413OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Basic Med LLC Chiropractor CurrentSince Dec 2, 2022 Accepting new patients

Locations

275 Graham Rd
Ste 9
Cuyahoga Fls, OH 44223
Phone (330) 945-5555

6009 Landerhaven Dr
Ste C-2
Mayfield Heights, OH 44124
Phone (440) 442-3000

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1578818548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR STE C-2",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR",
            "address_2": "C2",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-442-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "DC.4413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.