Karla Ashley, OT
Individual provider Active NPI Occupational Therapist · Vicksburg, MS
NPI 1700968302 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700968302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT 0228 (MS)
- Practice address
- 1901 Mission 66
Suite a
Vicksburg, MS 39180-3711 - Phone
- (601) 638-4076
- Fax
- (601) 638-4979
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 0228 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Physical Therapy,Inc. | Past | Accepting new patients | |
| Diagnostic Testing Solutions | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 0228 | MS | Yes |
Addresses
Primary practice location
1901 Mission 66
Suite a
Vicksburg, MS 39180-3711
Mailing address
PO Box 822394
Vicksburg, MS 39182-2394
Phone (601) 638-4076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7249480 | Other | MS | AETNA # |
| 07736442 | Medicaid | MS |
Other names
- Ms. Karla Ashley
Other providers in Vicksburg, MS
- Priyanka Anvekar
- Namita K. Arora
- Alan Arrington
- Kelsey Marie Artman
- Ashley L. Karel PLLC
- Miles David Ashley
- Samantha Nicole Ashley
- William Samuel Ashley
- Joshua Hunter Aultman
- Austin Family Dentistry
All providers in Vicksburg, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.