Individual provider Active NPI

Ashley Dawn Perry, PT, DPT, OCS

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1851153878
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1295429 Issued in TX
Practice address
18123 Upper Bay Rd Ste 110
Houston, TX 77058-3877
Phone
(281) 333-8806
NPI assigned
Jan 25, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1295429 TX Primary

Addresses

Primary practice location

18123 Upper Bay Rd Ste 110
Houston, TX 77058-3877

Mailing address

4402 N Heron Dr
Seabrook, TX 77586-2522

Other names 1

  • Ashley Dawn Pruitt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001312 TX Practitioner - Physical Therapist in Private Practice 3779926464 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1295429TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 26, 2024 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 26, 2024 Accepting new patients
Houston Methodist St. John Hospital PastSince Nov 10, 2024 Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 6

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1851153878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 N HERON DR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775862522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18123 UPPER BAY RD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583877",
            "telephone_number": "281-333-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1295429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PRUITT",
            "middle_name": "DAWN",
            "credential": "PT, DPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.