Individual provider Active NPI

Ashley Phelps Cavanah, PT

  • Physical Therapist
  • Eddyville, KY
National Provider Identifier
1982736708
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004851 Issued in KY
Practice address
Progressivehealth
236 Commerce Street
Eddyville, KY 42038
Phone
(270) 388-2222
NPI assigned
Mar 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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 004851 KY Primary

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

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

LicenseStateTypeSpecialty
004851KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon County Emergency Ambulance Service PastSince Feb 8, 2023 Accepting new patients
C&O Rehabilitation & Fitness, LLC Past Accepting new patients

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

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.