Ryan Ashworth, MS, ATC, PMP

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001505 Issued in VA

Practice address

1500 Langley Ave
Seymour Johnson a F B, NC 27531-2554

Phone

(919) 722-0420

NPI assigned

Feb 15, 2010

Reactivated

Dec 29, 2010

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1598097727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 YOUNG FOREST DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LANGLEY AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312554",
            "telephone_number": "919-722-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "RYAN",
        "credential": "MS, ATC, PMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "deactivation_date": "2010-06-24",
        "reactivation_date": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4TH Medgrp-Seymour Johnson (DoD SEY-JOHN ePhcy)
• Isaiah Gary Allison
• Anthony Shawn Bankes, M.D.
• Cameron Thomas Beckham, PA-C
• Chelsea Berghorn, MS, LAT, ATC, CSCS
• Tiffany Moore Brassard, RD
• Stacey Marie Brundrett, CNS

• Athletic Trainer in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.