Ashley N Davis, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4520 Issued in TN

Practice address

455 Chickamauga Dr Ste 101
Dayton, TN 37321-4286

Phone

(423) 428-9156

Fax

(423) 428-9166

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By the provider in NPPES

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

• Ashely Vanderpool Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sport & Spine

  dba OrthoSport and Spine Physical Therapy

  • Physical Therapist
  • Dayton, TN
  • NPI 1427505999
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1699286955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CHICKAMAUGA DR STE 101",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373214286",
            "telephone_number": "423-428-9156",
            "fax_number": "423-428-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHICKAMAUGA DR STE 101",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373214286",
            "telephone_number": "423-428-9156",
            "fax_number": "423-428-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHELY",
            "last_name": "VANDERPOOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Moses Cooper, NP
• Craig S Swafford MD PLLC
• Alan L Crews, M.D.
• Crossroads Urgent Care PLLC (Urgent Team)
• Dan Fields III, DDS PLLC
• Barbara Lynn Davis
• Dayspring Pediatrics PLC (Dayspring Pediatrics)
• Dayton Drug and Wellness LLC (Dayton Drug and Wellness)
• Dayton Drug and Wellness LLC (Dayton Drug and Wellness, LTC)
• Dayton Internal Medicine, PLLC

• Physical Medicine & Rehabilitation Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.