Ashlee Brooke Jackson, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A02403 Issued in KY

Practice address

376 Manchester Square Shopping Center
Manchester, KY 40962

Phone

(606) 599-1709

NPI assigned

Nov 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Theracare Inc

  • Occupational Therapist
  • Manchester, KY
  • NPI 1538253463
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1760719694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409620160",
            "telephone_number": "606-598-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MANCHESTER SQUARE SHOPPING CENTER",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "40962",
            "telephone_number": "606-599-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEE",
        "middle_name": "BROOKE",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Hurley
• Gerard M. Hyland, RPH
• Karleena Sue Inman, LPCC
• Eileen A Irvin, CRNA
• Douglas G Irwin, M.D.
• Kishore Jadhav, MD
• Joseph James, M.D.
• JDL Consulting LLC
• JDL Consulting LLC
• Bobbi Jean Jones, LPCC

• Physical Therapy Assistant in Manchester, KY
• Providers in Manchester, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.