MEDICARE: TRICIA ASHTON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	2305003107	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40960	OTHER	VA	MAMSI/OPTIMUMCHOICE/MDIPA
2	028536	OTHER	VA	ANTHEM

General Provider Information

NPI Number	:	1578563557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRICIA ASHTON PT

Provider Business Mailing Address
First Line	:	5510 CHEROKEE AVE
Second Line	:	SUITE 250
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:	703-916-0200

Provider Business Practice Location Address
First Line	:	5510 CHEROKEE AVE
Second Line	:	SUITE 250
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:	703-916-0200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	04/08/2008

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Directions to “ TRICIA ASHTON PT” Practice Location

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