Active NPI
Ashley Jeanne Katzenback, PT
- Physical Therapist
- Mashpee, MA
National Provider Identifier
1689753758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17608
- Practice address
- 681 Falmouth Rd Ste E21
Mashpee, MA 02649-6316 - Phone
- (508) 477-5670
- Fax
- (508) 539-1790
- NPI assigned
- Nov 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17608 | MA | Primary |
Addresses
Primary practice location
681 Falmouth Rd Ste E21
Mashpee, MA 02649-6316
Mailing address
681 Falmouth Rd Ste E21
Mashpee, MA 02649-6316
Phone (508) 477-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17608 | Other | MA | MA STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17608 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1689753758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 FALMOUTH RD STE E21",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496316",
"telephone_number": "508-477-5670",
"fax_number": "508-539-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 FALMOUTH RD STE E21",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496316",
"telephone_number": "508-477-5670",
"fax_number": "508-539-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZENBACK",
"first_name": "ASHLEY",
"middle_name": "JEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE LICENSE",
"identifier": "17608",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.