=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801121553
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY NICOLE TELFORD P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2009
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 STANHOPE GDNS SUITE 101
-----------------------------------------------------
City | CHESAPEAKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-842-6562
-----------------------------------------------------
Fax | 757-842-6563
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 900 STANHOPE GARDENS SUITE 101
-----------------------------------------------------
City | CHESAPEAKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-842-6562
-----------------------------------------------------
Fax | 757-842-6563
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2305206158
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------