Individual provider Active NPI

Ashlynn Duerksen

  • Physical Therapist
  • Manhattan, KS
National Provider Identifier
1669936639
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06989 Issued in KS
Practice address
1133 College Ave Ste E230
Manhattan, KS 66502-2818
Phone
(785) 587-1825
Fax
(785) 587-1828
NPI assigned
Jan 24, 2019
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X KS
Physical Therapist 225100000X 11-06989 KS Primary

Addresses

Primary practice location

1133 College Ave Ste E230
Manhattan, KS 66502-2818

Mailing address

1133 College Ave Ste E230
Manhattan, KS 66502-2818
Phone (785) 587-1825

Other names 1

  • Ashlynn Hamm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221000706 KS Practitioner - Physical Therapist in Private Practice 5597246173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Functional Performance IncGroup PAC ID 7416040720, 9 clinicians

Practice addresses (Care Compare)

426 McCall Rd
A
Manhattan, KS 66502-5032
Phone (785) 776-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06989KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Functional Performance Inc Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
No Stone Unturned Foundation PastSince Apr 10, 2022 Accepting new patients

Locations

426 McCall Rd
#A
Manhattan, KS 66502
Phone (785) 776-0670

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1669936639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE E230",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022818",
            "telephone_number": "785-587-1825",
            "fax_number": "785-587-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE E230",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022818",
            "telephone_number": "785-587-1825",
            "fax_number": "785-587-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERKSEN",
        "first_name": "ASHLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYNN",
            "last_name": "HAMM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.