Individual provider Active NPI

Ashleyrose Costello Simms, DPT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1760610778
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031518-1 Issued in NY
Practice address
2040 Gause Blevd East
Slidell, LA 70461
Phone
(985) 280-2717
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 031518-1 NY Primary

Addresses

Primary practice location

2040 Gause Blevd East
Slidell, LA 70461

Mailing address

23444 Arcadia Farm Rd
Pass Christian, MS 39571-6002
Phone (646) 707-2705

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

LicenseStateTypeSpecialty
38865CAMDDentist
031518-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Sport & Spine Physical Therapy Physical Therapist CurrentSince Jul 21, 2012 Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients
Agile Physical Therapy Inc PastSince Feb 14, 2022 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients

Locations

3727 Buchanan St
Ste 205
San Francisco, CA 94123
Phone (415) 509-3986

3727 Buchanan St
Ste 206
San Francisco, CA 94123
Phone (415) 593-2532

100 Bush St
Ste 800
San Francisco, CA 94104
Phone (415) 593-2532

Organizations & group practices 4

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1760610778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23444 ARCADIA FARM RD",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395716002",
            "telephone_number": "646-707-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 GAUSE BLEVD EAST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-280-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "ASHLEYROSE",
        "middle_name": "COSTELLO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031518-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.