Individual provider Active NPI

Ashley Willette

  • Physical Therapist
  • Riverhead, NY
National Provider Identifier
1679256390
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
331 E Main St Apt 203
Riverhead, NY 11901-2460
Phone
(309) 620-3747
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 NY Primary

Addresses

Primary practice location

331 E Main St Apt 203
Riverhead, NY 11901-2460

Mailing address

331 E Main St Apt 203
Riverhead, NY 11901-2460
Phone (309) 620-3747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905003241 NY Practitioner - Physical Therapist in Private Practice 7810350030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Physical and Occupational Therapy Services, PLLCGroup PAC ID 6305144775, 48 clinicians

Practice addresses (Care Compare)

2579 Ocean Ave
FL 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926

800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

3190 Niagara Falls Blvd
Ste 18
Amherst, NY 14228
Phone (716) 418-7526

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

3190 Niagara Falls Blvd
Buffalo, NY 14228
Phone (716) 418-7526

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

1 West Ave
Ste 150
Saratoga Springs, NY 12866
Phone (518) 240-1152

196 Swansea Dr
Syracuse, NY 13206
Phone (315) 800-0761

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1679256390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST APT 203",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012460",
            "telephone_number": "309-620-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST APT 203",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012460",
            "telephone_number": "309-620-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.