Provider Demographics
NPI:1083101646
Name:ASHBURY HOME THERAPY INC.
Entity Type:Organization
Organization Name:ASHBURY HOME THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PONTIUS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:614-565-7715
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-0776
Mailing Address - Country:US
Mailing Address - Phone:614-565-7715
Mailing Address - Fax:844-274-2879
Practice Address - Street 1:694 GREEN FOREST PL
Practice Address - Street 2:
Practice Address - City:LITHOPOLIS
Practice Address - State:OH
Practice Address - Zip Code:43136-7502
Practice Address - Country:US
Practice Address - Phone:614-565-7715
Practice Address - Fax:614-565-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH07623225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty