Ashley R Bondurant, PT
Individual provider Active NPI Physical Therapist · Meggett, SC
NPI 1609101104 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1609101104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7438 (SC)
- Practice address
- 4257 Sebago Rd
Meggett, SC 29449-6034 - Phone
- (410) 603-0534
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7438 | SC | MD | Neonatal/Pediatric Registered Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7438 | SC | Yes |
Addresses
Primary practice location
4257 Sebago Rd
Meggett, SC 29449-6034
Mailing address
4257 Sebago Rd
Meggett, SC 29449-6034
Phone (410) 603-0534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7438 | Other | SC | PT LICENSE |
Other providers in Meggett, SC
- Breakthrough Speech Therapy
- Compassionate Health Solutions LLC
- Cindy B Dodds
- Morgan Brianna Stewart
- Whole Health Family Pharmacy
All providers in Meggett, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.