Active NPI
Ashley Payne, P.T.
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
National Provider Identifier
1700199775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 8940
- Practice address
- 323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608 - Phone
- (480) 632-6667
- Fax
- (480) 632-6668
- NPI assigned
- Jul 20, 2010
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 8940 | AZ | Primary |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 8940 | AZ |
Addresses
Primary practice location
323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608
Mailing address
323 S Gilbert Rd Ste 115
Gilbert, AZ 85296-1608
Phone (480) 632-6667
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 |
|---|---|---|---|
| 8940 | AZ | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamondback Physical Therapy | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21372/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Gilbert, AZ
- NPI 1215923677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1700199775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S GILBERT RD STE 115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961608",
"telephone_number": "480-632-6667",
"fax_number": "480-632-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S GILBERT RD STE 115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961608",
"telephone_number": "480-632-6667",
"fax_number": "480-632-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ASHLEY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "8940",
"primary": true
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "AZ",
"license": "8940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.