Provider Demographics
NPI:1780570697
Name:TONER, ASHLEY ANN (PTA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:TONER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3925
Mailing Address - Country:US
Mailing Address - Phone:321-693-3519
Mailing Address - Fax:
Practice Address - Street 1:316 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3897
Practice Address - Country:US
Practice Address - Phone:828-435-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA31355225200000X
NCA8583225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant