Active NPI
Ashley Marie McFadden, P.T.
- Physical Therapist
- Ballwin, MO
National Provider Identifier
1760669378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2007032036
- Practice address
- 15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077 - Phone
- (636) 220-6969
- Fax
- (636) 220-6973
- NPI assigned
- Jan 25, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007032036 | MO | Primary |
Addresses
Primary practice location
15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Mailing address
15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007032036 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy of Creve Coeur LLC | Physical Therapist | Past | Accepting new patients |
| Elite Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Ballwin, MO
- NPI 1942524087
-
- Rehabilitation Clinic/Center
- Saint Louis, MO
- NPI 1760736185
Physical Therapist
-
- Rehabilitation Clinic/Center
- Creve Coeur, MO
- NPI 1679947774
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1760669378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15425 MANCHESTER RD",
"address_2": "SUITE 28",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113077",
"telephone_number": "636-220-6969",
"fax_number": "636-220-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15425 MANCHESTER RD",
"address_2": "SUITE 28",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113077",
"telephone_number": "636-220-6969",
"fax_number": "636-220-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2007032036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.