Ashley A Peacock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1192259 Issued in TX

Practice address

13857 US Highway 87 W Ste 400
La Vernia, TX 78121-5921

Phone

(830) 253-2101

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Poarch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

63.18 of 100Reported as group

Quality

59.83

Improvement activities

20

Cost

75.9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1023079712
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1760167894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13857 US HIGHWAY 87 W STE 400",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215921",
            "telephone_number": "830-253-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1192259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "POARCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Dawn Nickell, A.T.C., L.A.T.
• Elyssa C Nunez
• Oak Bend Therapy, Professional Corporation
• Occupational Health Centers of the Southwest PA
• Amy Jo Orr, LCSW
• Dylan Michael-James Pecan
• Sandra Diane Pena, LMT
• Irene Perales
• Casey Lynn Perez
• Carrie Perrigo James

• Physical Therapist in La Vernia, TX
• Providers in La Vernia, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.