Active NPI
Ashley Edmonds, OT
- Occupational Therapist
- Bucyrus, OH
National Provider Identifier
1740569029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 007700
- Practice address
- 351 S Lane St
Suite 1
Bucyrus, OH 44820-2319 - Phone
- (419) 562-6686
- Fax
- (419) 562-6625
- NPI assigned
- Aug 4, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 007700 | OH | Primary |
Addresses
Primary practice location
351 S Lane St
Suite 1
Bucyrus, OH 44820-2319
Mailing address
112 Harcourt Rd
Suite 112
Mount Vernon, OH 43050-3946
Phone (740) 392-8811
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 |
|---|---|---|---|
| OT 007700 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitative Associates Inc | Occupational Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1740569029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HARCOURT RD",
"address_2": "SUITE 112",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430503946",
"telephone_number": "740-392-8811",
"fax_number": "740-392-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S LANE ST",
"address_2": "SUITE 1",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448202319",
"telephone_number": "419-562-6686",
"fax_number": "419-562-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "ASHLEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 007700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.