Individual provider Active NPI

Ashleigh Willis

  • Physical Therapist
  • North Augusta, SC
National Provider Identifier
1619856416
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13060 Issued in SC
Practice address
104 Walnut LN Ste 106
North Augusta, SC 29860-8684
Phone
(803) 599-5990
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13060 SC Primary

Addresses

Primary practice location

104 Walnut LN Ste 106
North Augusta, SC 29860-8684

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251021000196 GA Practitioner - Physical Therapist in Private Practice 5193213460 Reassigns benefits to 3 organizations
I20251031004103 SC Practitioner - Physical Therapist in Private Practice 5193213460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

104 Walnut LN
Suite 106
North Augusta, SC 29860-8684
Phone (803) 599-5990

254 Robert C Daniel Jr Pkwy
Suite 4B
Augusta, GA 30909-0812
Phone (706) 723-5795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13060SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Sep 16, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

254 Robert C Daniel Jr Pkwy
Ste 4B
Augusta, GA 30909
Phone (706) 723-5795

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

104 Walnut Ln
Ste 106
North Augusta, SC 29860
Phone (803) 599-5990

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

Organizations & group practices 10

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1619856416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT LN STE 106",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608684",
            "telephone_number": "803-599-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ASHLEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.