Provider Demographics
NPI:1356491013
Name:ASH, EDWARD JOSEPH (PT,ATC,OCS,COMT,CSCS)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:JOSEPH
Last Name:ASH
Suffix:
Gender:M
Credentials:PT,ATC,OCS,COMT,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3667 BRECKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9667
Mailing Address - Country:US
Mailing Address - Phone:330-659-4050
Mailing Address - Fax:330-659-4052
Practice Address - Street 1:3667 BRECKSVILLE RD
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44286-9667
Practice Address - Country:US
Practice Address - Phone:330-659-4050
Practice Address - Fax:330-659-4052
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-0077452251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1407072275OtherNPI-FACILITY
OH205644547-00OtherBWC-GROUP
OH000000531136OtherANTHEM
OH205644547-00OtherBWC-GROUP
S79984Medicare UPIN