Individual provider Active NPI

Ashlee Ward, M.S OTR/L

  • Specialist
  • Nanticoke, PA
National Provider Identifier
1669829073
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC013934 Issued in PA
Practice address
147 Old Newport St
Nanticoke, PA 18634-1327
Phone
(570) 735-7300
NPI assigned
May 17, 2016
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OC013934 PA Primary
Gerontology Occupational Therapist 225XG0600X OC013934 PA

Addresses

Primary practice location

147 Old Newport St
Nanticoke, PA 18634-1327

Mailing address

319 Meadowcrest Dr
Shavertown, PA 18708-9482
Phone (570) 709-5291

Other names 1

  • Ashlee Gibbons Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC013934PAMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1669829073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MEADOWCREST DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089482",
            "telephone_number": "570-709-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 OLD NEWPORT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341327",
            "telephone_number": "570-735-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ASHLEE",
        "credential": "M.S OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC013934",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "PA",
            "license": "OC013934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "GIBBONS",
            "credential": "M.S OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.