Ashlee Martin

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1511 Issued in CT

Practice address

39 Kennedy Dr
Suite a
Putnam, CT 06260-1957

Phone

(860) 963-2174

Fax

(860) 963-2178

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1801291364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KENNEDY DR",
            "address_2": "SUITE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601957",
            "telephone_number": "860-963-2174",
            "fax_number": "860-963-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENNEDY DR",
            "address_2": "SUITE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601957",
            "telephone_number": "860-963-2174",
            "fax_number": "860-963-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1511",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA00997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristan Faith Manning, LMSW
• Nathaniel Manning, M.D.
• Alicia Marie Marceau, LPC
• Alyssa Marchese
• Abbey Elizabeth Marsalisi
• Carly Sage Martin, MS
• Robyn A Martin, APRN
• Victoria Rose Massey, DMD
• Gabriel Erick Mateo
• Krista E Matsen, MD

• Physical Therapy Assistant in Putnam, CT
• Providers in Putnam, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.