Individual provider Active NPI

Ashley Hightower

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1619117884
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9577 Issued in SC
Practice address
4015 2ND Ave Ste B
Summerville, SC 29486-7882
Phone
(850) 588-9641
Fax
(850) 711-0441
NPI assigned
Mar 2, 2009
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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 PT9577 SC Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

4015 2ND Ave Ste B
Summerville, SC 29486-7882

Mailing address

4015 2ND Ave
Ste B
Summerville, SC 29486-7882
Phone (850) 588-9641

Other practice location 1

3690 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone (716) 662-4955

Other practice location 2

4015 2nd Ave Ste B
Summerville, SC 29486-7882
Phone (850) 588-9641

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
PT9577SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1619117884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 2ND AVE",
            "address_2": "STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867882",
            "telephone_number": "850-588-9641",
            "fax_number": "888-711-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 2ND AVE STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867882",
            "telephone_number": "850-588-9641",
            "fax_number": "850-711-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Southwestern Blvd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271720",
            "country_code": "US",
            "telephone_number": "716-662-4955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 2nd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867882",
            "country_code": "US",
            "telephone_number": "850-588-9641",
            "fax_number": "850-711-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT9577",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.