Individual provider Active NPI

Ashley Kimberling, PT

  • Physical Therapist
  • Huntington, WV
National Provider Identifier
1659996908
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004293 Issued in WV
Practice address
2240 5TH Ave Ste 101
Huntington, WV 25703-1239
Phone
(304) 525-4445
Fax
(304) 529-7449
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 004293 WV Primary

Addresses

Primary practice location

2240 5TH Ave Ste 101
Huntington, WV 25703-1239

Mailing address

2240 5TH Ave Ste 101
Huntington, WV 25703-1290
Phone (304) 525-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200720001498 WV Practitioner - Physical Therapist in Private Practice 2163846437
I20240206000065 FL Practitioner - Physical Therapist in Private Practice 2163846437

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
JC Edwards School of Medicine, Marshall University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8259 Wicker Ave
Saint John, IN 46373-8878

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004293WVMDPhysical Therapist

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ashley.kimberling.1@13081.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1659996908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031290",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031239",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLING",
        "first_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.