Ashton Pickle, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Practice address

150 Loma LN
San Clemente, CA 92672-4721

Phone

(863) 430-5389

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1992335509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOMA LN",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724721",
            "telephone_number": "863-430-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOMA LN",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724721",
            "telephone_number": "863-430-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "ASHTON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHS San Clemente, Inc.
• Physician Nutraceutical Research, Inc
• Briana Pica, PT, DPT
• Emelia Rose Piccininni, OTD, OTR/L
• Jay Pichika
• Kenneth B. Pierce, D.O.
• Juliette Carol Louise Pineda, LMFT
• Pinnacle Wound Care
• Pioneer Orthotics and Prosthetics
• Amir Pirouzian, M.D.

• Sports Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.