Active NPI
Ashley L Steffens, D.P.T.
- Physical Therapist
- De Witt, IA
National Provider Identifier
1821048026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03904
- Practice address
- 900 14TH St
De Witt, IA 52742-1004 - Phone
- (563) 659-1579
- Fax
- (563) 659-3237
- NPI assigned
- May 11, 2006
- Last updated
- Apr 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03904 | IA | Primary |
| Physical Therapist | 225100000X | 070-016206 | IL |
Addresses
Primary practice location
900 14TH St
De Witt, IA 52742-1004
Mailing address
850 43Rd Ave
Suite 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048023 | Medicaid | IA | |
| 03904 | Other | IA | IOWA PT LICENSE NUMBER |
Other names 1
- Ashley L Henning
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03904 | IA | MD | Physical Therapist |
| 070-016206 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Physical Therapy Services | Past | Accepting new patients | |
| Clinton Physical Therapy | Past | Accepting new patients | |
| Clinton Physical Therapy Services, P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Clinton, IA
- NPI 1427238351
-
dba Dewitt Physical Therapy
- Durable Medical Equipment & Medical Supplies
- De Witt, IA
- NPI 1003096066
-
- Physical Therapist
- Clinton, IA
- NPI 1548271612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1821048026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE",
"address_2": "SUITE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 14TH ST",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421004",
"telephone_number": "563-659-1579",
"fax_number": "563-659-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFFENS",
"first_name": "ASHLEY",
"middle_name": "L",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03904",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016206",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821048023",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PT LICENSE NUMBER",
"identifier": "03904",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "HENNING",
"middle_name": "L",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.