Provider Demographics
NPI:1154732493
Name:GARITTY, ASHLEY (DPT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:GARITTY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8845 N MILITARY TRL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6298
Mailing Address - Country:US
Mailing Address - Phone:561-223-3872
Mailing Address - Fax:561-223-3895
Practice Address - Street 1:8845 N MILITARY TRL
Practice Address - Street 2:SUITE 300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6298
Practice Address - Country:US
Practice Address - Phone:561-223-3872
Practice Address - Fax:561-223-3895
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30669225100000X
CA41132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA123992Medicare PIN