Provider Demographics
NPI:1720439243
Name:CREWS, ASHLEY A (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:A
Last Name:CREWS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PASTURE PL
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-1737
Mailing Address - Country:US
Mailing Address - Phone:518-430-2008
Mailing Address - Fax:518-633-1029
Practice Address - Street 1:120 WEST AVE STE 103
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6086
Practice Address - Country:US
Practice Address - Phone:518-430-2008
Practice Address - Fax:518-633-1029
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X
NY040200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400313629OtherMEDICARE
NYP01753366OtherRR MEDICARE
NY04500381Medicaid