Active NPI
Ashley Claire Motika Roome
- Speech-Language Pathologist
- Moline, IL
National Provider Identifier
1831609700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146012426
- Practice address
- 1619 11TH Ave
Moline, IL 61265-3143 - Phone
- (309) 743-1601
- NPI assigned
- Oct 5, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146012426 | IL | Primary |
Addresses
Primary practice location
1619 11TH Ave
Moline, IL 61265-3143
Mailing address
4523 50TH St
Moline, IL 61265-6743
Phone (330) 647-1714
Other names 1
- Ashley Claire Motika
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 |
|---|---|---|---|
| 146012426 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1831609700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4523 50TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656743",
"telephone_number": "330-647-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 11TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612653143",
"telephone_number": "309-743-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTIKA ROOME",
"first_name": "ASHLEY",
"middle_name": "CLAIRE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146012426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MOTIKA",
"middle_name": "CLAIRE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.