Individual provider Active NPI

Ashley Karinna Sugg, DPT

  • Physical Therapist
  • Yadkinville, NC
National Provider Identifier
1801619978
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23660 Issued in NC
Practice address
901 W Main St
Yadkinville, NC 27055-7807
Phone
(855) 983-0488
Fax
(704) 240-3500
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 P23660 NC Primary

Addresses

Primary practice location

901 W Main St
Yadkinville, NC 27055-7807

Mailing address

2202 Esther Rd
Greensboro, NC 27406-8857
Phone (336) 508-6098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202002339 NC Practitioner - Physical Therapist in Private Practice 0244765121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidology, Inc Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients

Locations

1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676

901 W Main St
Yadkinville, NC 27055
Phone (336) 679-2931

Organizations & group practices 1

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1801619978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ESTHER RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068857",
            "telephone_number": "336-508-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557807",
            "telephone_number": "855-983-0488",
            "fax_number": "704-240-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "ASHLEY",
        "middle_name": "KARINNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.

Verify at the official NPI Registry.