Individual provider Active NPI

Ashley Giambra, PT, DPT

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1821877531
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049409 Issued in NY
Practice address
503 Olde Waterford Way Ste 205
Leland, NC 28451-4148
Phone
(910) 399-4039
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22660 NC
Physical Therapist 225100000X 020197 OH
Physical Therapist 225100000X 049409 NY Primary

Addresses

Primary practice location

503 Olde Waterford Way Ste 205
Leland, NC 28451-4148

Mailing address

40 Forest Creek CT
Grand Island, NY 14072-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708000112 MA Practitioner - Physical Therapist in Private Practice 0941658165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

170 Shipyard Dr
Unit a
Hingham, MA 02043-1611
Phone (781) 875-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049409NYMDPharmacist
020197OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

703 Granite St
Ste 3
Braintree, MA 02184

170 Shipyard Dr
Unit A
Hingham, MA 02043
Phone (781) 875-8343

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

503 Olde Waterford Way
Ste 205
Leland, NC 28451
Phone (910) 339-4039

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

Organizations & group practices 4

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1821877531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST CREEK CT",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OLDE WATERFORD WAY STE 205",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514148",
            "telephone_number": "910-399-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRA",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22660",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "020197",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.