Individual provider Active NPI

Ashleigh Ball, PTA

  • Physical Therapy Assistant
  • Rexburg, ID
National Provider Identifier
1851007850
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA8352 Issued in ID
Practice address
36 Winn Dr Ste 100
Rexburg, ID 83440-5277
Phone
(208) 356-0174
Fax
(208) 356-0176
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA8352 ID Primary

Addresses

Primary practice location

36 Winn Dr Ste 100
Rexburg, ID 83440-5277

Mailing address

111 W 7TH S Apt 1510
Rexburg, ID 83440-2616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rexburgrehab@hotmail.com PMD Therapies, Pllc

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

LicenseStateTypeSpecialty
PTA8352IDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PMD Therapies, PLLC Single Specialty CurrentSince Jan 29, 2023 Accepting new patients
Mountain View Hospital LLC Single Specialty PastSince Jan 29, 2023 Accepting new patients

Locations

36 Winn Dr
#100
Rexburg, ID 83440
Phone (208) 356-0174

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1851007850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 7TH S APT 1510",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WINN DR STE 100",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405277",
            "telephone_number": "208-356-0174",
            "fax_number": "208-356-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ASHLEIGH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA8352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rexburgrehab@hotmail.com",
            "affiliation": "Y",
            "affiliationName": "PMD Therapies, Pllc",
            "address_1": "36 Winn Drive",
            "address_2": "Suite 100",
            "city": "Rexburg",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.