Healthcare Provider Details

I. General information

NPI: 1487566253
Provider Name (Legal Business Name): ASHLEY CAPLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 KIRBO WAY
JACKSONVILLE FL
32224-1419
US

IV. Provider business mailing address

4453 FOREST HAVEN DR S
JACKSONVILLE FL
32257-7657
US

V. Phone/Fax

Practice location:
  • Phone: 904-721-5063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: