Ashley Phelps Cavanah, PT – Physical Therapist

Key facts

NPI: 1982736708
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 004851 (KY)
Practice address: Progressivehealth
236 Commerce Street
Eddyville, KY 42038
Phone: (270) 388-2222
NPI assigned: Mar 9, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

C&O Rehabilitation & Fitness, LLC Physical Therapy Clinic/Center · Eddyville, KY · NPI 1548475858

NPD (past)
Lyon County Emergency Ambulance Service Land Ambulance · Eddyville, KY · NPI 1487651543

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
004851	KY	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
C&O Rehabilitation & Fitness, LLC		Past	Accepting new patients
Lyon County Emergency Ambulance Service		Past since Feb 8, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	004851	KY	Yes

Addresses

Primary practice location

Progressivehealth
236 Commerce Street
Eddyville, KY 42038

Mailing address

110 W Wilson St
Fredonia, KY 42411-9633
Phone (270) 625-9332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2007.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1982736708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W WILSON ST",
            "city": "FREDONIA",
            "state": "KY",
            "postal_code": "424119633",
            "telephone_number": "270-625-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROGRESSIVEHEALTH",
            "address_2": "236 COMMERCE STREET",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "42038",
            "telephone_number": "270-388-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAH",
        "first_name": "ASHLEY",
        "middle_name": "PHELPS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eddyville, KY

All providers in Eddyville, KY · Physical Therapist in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.