Individual provider Active NPI

Ashley Brooke Marolf, DPT

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1861886178
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.020938 Issued in IL
Practice address
1301 N Alpine Rd # 201
Rockford, IL 61107-2262
Phone
(779) 696-0700
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 070.020938 IL Primary

Addresses

Primary practice location

1301 N Alpine Rd # 201
Rockford, IL 61107-2262

Mailing address

7825 3Rd St N
Ste 105
Oakdale, MN 55128-5444
Phone (952) 835-4512

Other practice location 1

1900 10th St
Silvis, IL 61282-1909
Phone (309) 278-1537

Other practice location 2

1531 W Lane Rd
Machesney Park, IL 61115-1903
Phone (877) 609-0123

Other names 1

  • Ashley Brooke Ginn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001263 IL Practitioner - Physical Therapist in Private Practice 5395061329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1301 N Alpine Rd
Suite 201
Rockford, IL 61107-2262
Phone (779) 696-0700

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.020938ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital CurrentSince Aug 8, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Aug 8, 2023 Accepting new patients
Odom Sports Medicine, P.a. CurrentSince Feb 25, 2015 Accepting new patients
Swedishamerican Hospital Physical Therapist CurrentSince Jan 21, 2024 Accepting new patients

Locations

1301 N Alpine Rd
#201
Rockford, IL 61107
Phone (779) 696-0700

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1301 N Alpine Rd
Ste 201
Rockford, IL 61107
Phone (779) 696-0700

10500 Wayzata Blvd
Minnetonka, MN 55305
Phone (952) 545-2225

10653 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (612) 364-1901

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1861886178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 3RD ST N",
            "address_2": "STE 105",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285444",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ALPINE RD # 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072262",
            "telephone_number": "779-696-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 10th St",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821909",
            "country_code": "US",
            "telephone_number": "309-278-1537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 W Lane Rd",
            "address_purpose": "LOCATION",
            "city": "Machesney Park",
            "state": "IL",
            "postal_code": "611151903",
            "country_code": "US",
            "telephone_number": "877-609-0123",
            "fax_number": "888-425-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROLF",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GINN",
            "middle_name": "BROOKE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.