Active NPI
Ashley Nicole Overbaugh, DPT, PT, OCS
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1629400262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022920
- Practice address
- 339 6TH Ave
Pittsburgh, PA 15222-2517 - Phone
- (412) 560-8051
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022920 | PA | Primary |
Addresses
Primary practice location
339 6TH Ave
Pittsburgh, PA 15222-2517
Mailing address
3200 S Water St
Pittsburgh, PA 15203-2307
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashley.sustakoski@upmcdirect.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022920 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Network, LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- ashley.sustakoski@upmcdirect.com
Organizations & group practices 1
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.
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1871551028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1629400262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S WATER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 6TH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152222517",
"telephone_number": "412-560-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBAUGH",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "DPT, PT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashley.sustakoski@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "339 6th Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152222517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.