Healthcare Provider Details

I. General information

NPI: 1194570200
Provider Name (Legal Business Name): ASHLEY COSENZI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ROBIDOUX

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BIRNIE AVE STE 202
SPRINGFIELD MA
01107-1121
US

IV. Provider business mailing address

300 BIRNIE AVE STE 201
SPRINGFIELD MA
01107-1121
US

V. Phone/Fax

Practice location:
  • Phone: 413-785-4666
  • Fax: 413-736-9699
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number014146
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL27205
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: