Active NPI
Ashley Pearson Reaves, LPTA
- Physical Therapy Assistant
- Maitland, FL
National Provider Identifier
1972362648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA10912
- Practice address
- 2301 Lucien Way Ste 325
Maitland, FL 32751-7020 - Phone
- (800) 774-7785
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA10912 | AL | Primary |
Addresses
Primary practice location
2301 Lucien Way Ste 325
Maitland, FL 32751-7020
Mailing address
5205 Springhill Rd
Brantley, AL 36009-4116
Phone (205) 861-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA10912 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1972362648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 SPRINGHILL RD",
"city": "BRANTLEY",
"state": "AL",
"postal_code": "360094116",
"telephone_number": "205-861-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LUCIEN WAY STE 325",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517020",
"telephone_number": "800-774-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "ASHLEY",
"middle_name": "PEARSON",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA10912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.