Active NPI
Ashton Harris, LPTA
- Physical Therapy Assistant
- Long Beach, MS
National Provider Identifier
1669878633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA5117
- Practice address
- 2 Tower PLZ
Suite B
Long Beach, MS 39560-3900 - Phone
- (228) 864-5090
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA5117 | MS | Primary |
Addresses
Primary practice location
2 Tower PLZ
Suite B
Long Beach, MS 39560-3900
Mailing address
2 Tower PLZ
Suite B
Long Beach, MS 39560-3900
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 |
|---|---|---|---|
| PTA5117 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1669878633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TOWER PLZ",
"address_2": "SUITE B",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395603900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TOWER PLZ",
"address_2": "SUITE B",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395603900",
"telephone_number": "228-864-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ASHTON",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA5117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.