Ashley Twynam, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01643300 Issued in NJ

Practice address

42 Park St
Montclair, NJ 07042-3440

Phone

(201) 366-2300

NPI assigned

Oct 1, 2021

Last updated

Oct 1, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earthly Living LLC

  • Physical Therapy Clinic/Center
  • Montclair, NJ
  • NPI 1639838246
  NPD Authorized official
• Earthly Living LLC

  • Physical Therapy Clinic/Center
  • Montclair, NJ
  • NPI 1689346108
  NPD Authorized official

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1972275568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PATERSON AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101227",
            "telephone_number": "201-366-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "201-366-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYNAM",
        "first_name": "ASHLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01643300",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam John Tsemberis, PHD
• Leslie Tubul, LCSW
• Sharise Tucker, LSW
• Nirman Tulsyan, M.D.
• Demi M Turner, D.P.M.
• Evangelia Sophia Tzelios, MS, OTR/L, LSVT-C
• Lex Uehline, PH.D.
• Valerie Williamson Uehlinger, MSW, LCSW
• Iniobong Ukonne
• United Surgical Assists LLC

• Orthopedic Physical Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.