Ashley Johnk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1503 Issued in ND

Practice address

4255 30TH Ave S
Fargo, ND 58104-8427

Phone

(701) 478-8950

Fax

(701) 478-8920

NPI assigned

Jan 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Waller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1689096463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 30TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048427",
            "telephone_number": "701-478-8950",
            "fax_number": "701-478-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 30TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048427",
            "telephone_number": "701-478-8950",
            "fax_number": "701-478-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNK",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WALLER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cyndee Del Rosario Jocson, M.D
• Tasha M Joern
• John J. Pollard, D.D.S., P.C.
• Courtney Kay John, FNP-C, RN
• Melissa Dale John, APRN, CNP
• Sidney R Johnk, APRN,CNP
• Johnson Drug Co
• Wendy Johnson-Oscarson
• Nancy Johnson-Seidel
• Abby Jayne Johnson

• Physical Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.