Active NPI
Melissa Anne Eldridge Ashshakur, PTA
- Physical Therapy Assistant
- Clarksville, TN
National Provider Identifier
1770809139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2409
- Practice address
- 900 Professional Park Dr
Clarksville, TN 37040-5136 - Phone
- (703) 447-5721
- NPI assigned
- Apr 10, 2010
- Last updated
- Apr 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2409 | TN | Primary |
Addresses
Primary practice location
900 Professional Park Dr
Clarksville, TN 37040-5136
Mailing address
4679 Saint Paul Rd
Woodlawn, TN 37191-9134
Phone (931) 542-6944
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2409 | TN | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270857600000",
"number": "1770809139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4679 SAINT PAUL RD",
"city": "WOODLAWN",
"state": "TN",
"postal_code": "371919134",
"telephone_number": "931-542-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PROFESSIONAL PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405136",
"telephone_number": "703-447-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE ASHSHAKUR",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-10",
"last_updated": "2010-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "2409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.