MEDICARE: ESTHER ELAINE ASHLEY 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	225100000X	Physical Therapist	1151067	TX

General Provider Information

NPI Number	:	1902470727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER ELAINE ASHLEY PT

Provider Business Mailing Address
First Line	:	3205 WABASH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2247
Country	:	US
Telephone Number	:	979-574-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	5751 EDWARDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4120
Country	:	US
Telephone Number	:	817-332-8848
Fax Number	:

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

Provider Enumeration Date	:	05/17/2021
Last Update Date	:	02/05/2026

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