Individual provider Active NPI

Ashleigh Nicole Vega, PT, DPT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1760130728
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38393 Issued in FL
Practice address
8045 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8567
Phone
(321) 757-5515
Fax
(321) 757-5514
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38393 FL Primary

Addresses

Primary practice location

8045 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8567

Mailing address

1227 Lamplighter Dr NW
Palm Bay, FL 32907-8008
Phone (386) 503-0544

Other practice location 1

1155 Malabar Rd NE Ste 1
Palm Bay, FL 32907-3262
Phone (321) 409-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004002094 FL Practitioner - Physical Therapist in Private Practice 4183000896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Professionals LLCGroup PAC ID 2567461825, 14 clinicians

Practice addresses (Care Compare)

8045 Spyglass Hill Rd
Suite 103
Melbourne, FL 32940-8567
Phone (321) 757-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Professionals, LLC Physical Therapist CurrentSince Aug 26, 2022 Accepting new patients

Locations

8045 Spyglass Hill Rd
Ste 103
Melbourne, FL 32940
Phone (321) 757-5515

470 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 591-4369

Networks

  • Freedom Health HMO Network

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1760130728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LAMPLIGHTER DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078008",
            "telephone_number": "386-503-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-757-5515",
            "fax_number": "321-757-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Malabar Rd NE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329073262",
            "country_code": "US",
            "telephone_number": "321-409-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ASHLEIGH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.