Active NPI
Ashlee Ward, M.S OTR/L
- Specialist
- Nanticoke, PA
National Provider Identifier
1669829073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OC013934
- Practice address
- 147 Old Newport St
Nanticoke, PA 18634-1327 - Phone
- (570) 735-7300
- NPI assigned
- May 17, 2016
- Last updated
- Mar 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC013934 | PA | MD | Gerontology 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.