Provider Demographics
NPI:1720158306
Name:ASHBY, JASON H (MSPT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:H
Last Name:ASHBY
Suffix:
Gender:
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-497-0005
Mailing Address - Fax:
Practice Address - Street 1:400 TOWER RD NE STE 140
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-9412
Practice Address - Country:US
Practice Address - Phone:866-483-5378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCP031043T225100000X
ARCP030429T225100000X
DECP025388T225100000X
CT12699225100000X
IN05014019A225100000X
KYCP029685T225100000X
OKCP029662T225100000X
SCCP030168T225100000X
WVCP018075T225100000X
TNCP029665T225100000X
OH010410225100000X
TXCP010378T225100000X
VACP015327T225100000X
CA299008225100000X
GACP014634T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist