Ashleigh Persico

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

123456 Issued in CT

Practice address

130 Maple St
Seymour, CT 06483-3638

Phone

(203) 584-1213

NPI assigned

Oct 18, 2020

Last updated

Oct 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1699374074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833638",
            "telephone_number": "203-584-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833638",
            "telephone_number": "203-584-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSICO",
        "first_name": "ASHLEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CT",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Seymour",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Maple St",
            "city": "Seymour",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064833638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scott Ryan Nelson
• Kathleen M Odonnell, LCSW
• Destiny Ortiz
• Thomas Park, DDS
• Patrick M. Keenan, PLLC (Patrick M. Keenan, NCC, LPC)
• Nicholas Piciw Jr., RPH
• Louisa Printz, MFTA
• Peter Edwin Przybylski, PHARMACIST
• David A Pudim, RPH, MHA
• Cora Elaine Ragaini, RD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Seymour, CT
• Providers in Seymour, CT by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.