Ashlyn Marie Golembeski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13996 Issued in TN

Practice address

13937 S Sprague LN Ste 100
Draper, UT 84020-7864

Phone

(385) 308-8034

NPI assigned

Dec 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ashlyn Marie Verrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lewy Physical Therapy Inc

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1154324242
  NPD (past)

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1861030413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 SUGGS PASS",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223039",
            "telephone_number": "225-205-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13937 S SPRAGUE LN STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207864",
            "telephone_number": "385-308-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBESKI",
        "first_name": "ASHLYN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "VERRETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nelson D. Glassett, DDS
• Gleason Enterprises LLC (FirstLight Home Care South Valley)
• Brittany Glotzbach, DPT
• Pamela Kenna Godette-Miller
• Dana Goff
• Itchel Aileen Gomez
• Courtney Danielle Gonzales, DPT
• Nathan Gonzales
• Areli Gonzalez
• Diego Hugo Gonzalez, FNP-C

• Physical Therapist in Draper, UT
• Providers in Draper, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.