Provider Demographics
NPI:1558482182
Name:ASHBAUGH, PAULA M (PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:M
Last Name:ASHBAUGH
Suffix:
Gender:F
Credentials:PT
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 1993
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-1993
Mailing Address - Country:US
Mailing Address - Phone:303-818-2551
Mailing Address - Fax:
Practice Address - Street 1:1281 BLUE RIVER PKWY
Practice Address - Street 2:UNIT A
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498
Practice Address - Country:US
Practice Address - Phone:970-368-6054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18061225100000X
CO5214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO25593Medicare UPIN
CAW17215AMedicare PIN
CACB236833Medicare PIN
CACB236834Medicare PIN
CAW17215Medicare PIN