Active NPI
Ashley Penrod, ATC
- Athletic Trainer
- Mount Sterling, KY
National Provider Identifier
1821409913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT755
- Practice address
- 624 Maysville Rd Ste C
Mount Sterling, KY 40353-9767 - Phone
- (859) 499-4351
- NPI assigned
- May 12, 2014
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT755 | KY | Primary |
Addresses
Primary practice location
624 Maysville Rd Ste C
Mount Sterling, KY 40353-9767
Mailing address
114 Ronameki Dr
Mount Sterling, KY 40353-1338
Phone (606) 776-6906
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 |
|---|---|---|---|
| AT755 | KY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Past | Accepting new patients | |
| Drayer Physical Therapy Institute LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Mt Sterling, KY
- NPI 1639483860
-
- Physical Therapist
- Mt Sterling, KY
- NPI 1659333631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1821409913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 RONAMEKI DR",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403531338",
"telephone_number": "606-776-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MAYSVILLE RD STE C",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539767",
"telephone_number": "859-499-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENROD",
"first_name": "ASHLEY",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.