Ashley Regenia Eliano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1204990 Issued in TX

Practice address

12413 Judson Rd
#260
Live Oak, TX 78233-3202

Phone

(210) 656-7953

Fax

(210) 656-7957

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1841527520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD",
            "address_2": "#260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333202",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD",
            "address_2": "#260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333202",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIANO",
        "first_name": "ASHLEY",
        "middle_name": "REGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1204990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.