Active NPI
Ashley Elizabeth Prosser, DPT
- Pediatric Physical Therapist
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 9734
- Practice address
- 5819 Winding LN Ste 101
Hixson, TN 37343-4067 - Phone
- (615) 512-8448
- Fax
- (800) 470-1905
- NPI assigned
- Aug 24, 2010
- Last updated
- May 26, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 010095 | GA | |
| Pediatric Physical Therapist | 2251P0200X | 9734 | TN | Primary |
Addresses
Primary practice location
5819 Winding LN Ste 101
Hixson, TN 37343-4067
Mailing address
5819 Winding LN Ste 101
Hixson, TN 37343-4067
Phone (615) 512-8448
Other practice location 1
118 Herron St
Ft Oglethorpe, GA 30742-3126
Phone (706) 861-7471
Other practice location 2
118 Herron St
Ft Oglethorpe, GA 30742-3126
Phone (706) 861-7471
Other practice location 3
1835 W Central Rd
Arlington Heights, IL 60005-2410
Phone (847) 870-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221220002146 | TN | Practitioner - Physical Therapist in Private Practice | 6608257860 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9734 | TN | MD | General Practice Dentistry |
| 010095 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pathways, LLC | Current | Accepting new patients | |
| North Georgia Pediatric Therapies, LLC | Past | Accepting new patients |
Locations
5819 Winding Ln
Ste 101
Hixson, TN 37343
Phone (423) 877-5042
5819 Winding Ln
Ste 105
Hixson, TN 37343
Phone (423) 645-2746
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.
-
- Occupational Therapist
- Hixson, TN
- NPI 1942894456
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1447499132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1679889984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 WINDING LN STE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434067",
"telephone_number": "615-512-8448",
"fax_number": "800-470-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5819 WINDING LN STE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434067",
"telephone_number": "615-512-8448",
"fax_number": "800-470-1905"
}
],
"practiceLocations": [
{
"address_1": "118 Herron St",
"address_purpose": "LOCATION",
"city": "Ft Oglethorpe",
"state": "GA",
"postal_code": "307423126",
"country_code": "US",
"telephone_number": "706-861-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Herron St",
"address_purpose": "LOCATION",
"city": "Ft Oglethorpe",
"state": "GA",
"postal_code": "307423126",
"country_code": "US",
"telephone_number": "706-861-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1835 W Central Rd",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052410",
"country_code": "US",
"telephone_number": "847-870-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROSSER",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "010095",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TN",
"license": "9734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.