Individual provider Active NPI

Ashley Gise, OTR/L

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1619496379
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17524 Issued in CA
Practice address
11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414
Phone
(858) 673-5437
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17524 CA Primary

Addresses

Primary practice location

11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414

Mailing address

11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414

Other names 1

  • Ashley Graham Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610003745 CA Practitioner - Occupational Therapist in Private Practice 3577035591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

1920 S El Camino Real
Encinitas, CA 92024-4937
Phone (512) 327-4444

850 Del Mar Downs Rd
Solana Beach, CA 92075-2725
Phone (512) 327-4444

9000 Murray Dr
La Mesa, CA 91942-3572
Phone (800) 967-4667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT17524CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation Past Accepting new patients
Hardy and Lukes Physical Therapy, Inc. PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 3

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1619496379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282414",
            "telephone_number": "858-673-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISE",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GRAHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.