Ashley E Supanich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206806 Issued in VA

Practice address

1935 W Main St
Salem, VA 24153-3109

Phone

(540) 302-0190

Fax

(540) 302-0191

NPI assigned

Oct 17, 2017

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carilion Healthcare Corporation

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  Medicare reassignment Care Compare group NPD
• Carilion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Blacksburg, VA
  • NPI 1407667256
  NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1861903932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533109",
            "telephone_number": "540-302-0190",
            "fax_number": "540-302-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533109",
            "telephone_number": "540-302-0190",
            "fax_number": "540-302-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPANICH",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sugonis, RN
• Kristy Leigh Suhr, RD
• Hannah Sulik, PHARMD
• Daniel C. Summerlin Jr., M. D.
• Summerville at Ridgewood Gardens LLC
• Superior Bath Systems
• Logan Bailee Surface, PHARMD
• Azra Naheed Surhio, LCSW
• Mary Beth Sutphin
• Debra Jean Swain-Elliotte, LCSW

• Physical Therapist in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.