Individual provider Active NPI

Ashley Graham Marchman, PT, DPT

  • Physical Therapist
  • Newnan, GA
National Provider Identifier
1578993192
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012214 Issued in GA
Practice address
1575 Highway 34 E
Suite B
Newnan, GA 30265-2401
Phone
(770) 252-5279
Fax
(770) 252-9940
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14461 NC
Physical Therapist 225100000X PT012214 GA Primary

Addresses

Primary practice location

1575 Highway 34 E
Suite B
Newnan, GA 30265-2401

Mailing address

3455 Highway 81 S
Loganville, GA 30052-3918
Phone (770) 554-0665

Other practice location 1

1438 Highway 16 W Ste C
Griffin, GA 30223-2096
Phone (770) 233-0350

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
P14461NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interactiv Children'S Therapy Services, Inc. Physical Therapist Past Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist PastSince Sep 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1578993192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81 S",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHWAY 34 E",
            "address_2": "SUITE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652401",
            "telephone_number": "770-252-5279",
            "fax_number": "770-252-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 Highway 16 W Ste C",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302232096",
            "country_code": "US",
            "telephone_number": "770-233-0350",
            "fax_number": "770-233-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHMAN",
        "first_name": "ASHLEY",
        "middle_name": "GRAHAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14461",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.