Provider Demographics
NPI:1043753866
Name:OROURKE, ASHLEY PATRICIA (PT, DPT, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PATRICIA
Last Name:OROURKE
Suffix:
Gender:F
Credentials:PT, DPT, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 LONG COVE LN
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5827
Mailing Address - Country:US
Mailing Address - Phone:910-546-5917
Mailing Address - Fax:
Practice Address - Street 1:138 LONG COVE LN
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5827
Practice Address - Country:US
Practice Address - Phone:910-546-5917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL37282255A2300X
MD26255225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer