Provider Demographics
NPI:1235726035
Name:TERRY, ASHLEY B (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:B
Last Name:TERRY
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:PO BOX 11471
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-0471
Mailing Address - Country:US
Mailing Address - Phone:866-416-1258
Mailing Address - Fax:866-416-1258
Practice Address - Street 1:6 WINNERS CIR
Practice Address - Street 2:
Practice Address - City:COLONIE
Practice Address - State:NY
Practice Address - Zip Code:12205-1155
Practice Address - Country:US
Practice Address - Phone:866-416-1258
Practice Address - Fax:866-416-1258
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist