Active NPI
Ashley Dudkiewicz, PT, DPT, MTC, CLT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1629426580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209969
- Practice address
- 984B Laskin Rd
Virginia Beach, VA 23451-3905 - Phone
- (757) 395-6900
- Fax
- (757) 425-7180
- NPI assigned
- Jun 1, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024928 | PA | |
| Physical Therapist | 225100000X | 1258267 | TX | |
| Physical Therapist | 225100000X | 43592 | CA | |
| Physical Therapist | 225100000X | 4644 | NM | |
| Physical Therapist | 225100000X | 2305209969 | VA | Primary |
Addresses
Primary practice location
984B Laskin Rd
Virginia Beach, VA 23451-3905
Mailing address
984B Laskin Rd
Virginia Beach, VA 23451-3905
Phone (757) 395-6900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43592 | CA | MD | Physical Therapist |
| 4644 | NM | MD | Physical Therapist |
| PT024928 | PA | MD | Physical Therapist |
| 1258267 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1629426580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984B LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513905",
"telephone_number": "757-395-6900",
"fax_number": "757-425-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984B LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513905",
"telephone_number": "757-395-6900",
"fax_number": "757-425-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDKIEWICZ",
"first_name": "ASHLEY",
"credential": "PT, DPT, MTC, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024928",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1258267",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43592",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4644",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.