Individual provider Active NPI

Ashley Mahan, DPT

  • Physical Therapist
  • Braintree, MA
National Provider Identifier
1912555616
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24437 Issued in MA
Practice address
25 Braintree Hill Park Ofc PK
Braintree, MA 02184-8702
Phone
(508) 556-1397
Fax
(508) 772-0305
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 24437 MA Primary

Addresses

Primary practice location

25 Braintree Hill Park Ofc PK
Braintree, MA 02184-8702

Mailing address

25 Braintree Hill Park Ofc Park
Braintree, MA 02184-8702
Phone (508) 556-1397

Other names 1

  • Ashley Debarros Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905003052 MA Practitioner - Physical Therapist in Private Practice 9234468976 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy Inc Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients

Locations

501 John Mahar Hwy
Ste 301
Braintree, MA 02184
Phone (781) 384-0500

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

118 Long Pond Rd
Ste 205
Plymouth, MA 02360
Phone (508) 591-8352

16 Aldrin Rd
Plymouth, MA 02360
Phone (508) 728-8727

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

Organizations & group practices 3

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1912555616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRAINTREE HILL PARK OFC PARK",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848702",
            "telephone_number": "508-556-1397",
            "fax_number": "508-772-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRAINTREE HILL PARK OFC PK",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848702",
            "telephone_number": "508-556-1397",
            "fax_number": "508-772-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DEBARROS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.