MEDICARE: DR. ASHLEY NICOLE SUMMERS DPT

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	05010575A	IN
2	2251P0200X	Pediatric Physical Therapist	070.018485	IL

General Provider Information

NPI Number	:	1003189499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY NICOLE SUMMERS DPT

Provider Business Mailing Address
First Line	:	700 E FIRMIN STREET
Second Line	:	SUITE 209
City	:	KOKOMO
State	:	IN
Zip	:	46902-2375
Country	:	US
Telephone Number	:	765-454-9748
Fax Number	:	765-450-6664

Provider Business Practice Location Address
First Line	:	21 S PARK BLVD
Second Line	:	SUITE 21
City	:	GREENWOOD
State	:	IN
Zip	:	46143-8838
Country	:	US
Telephone Number	:	317-449-2104
Fax Number	:	765-450-6664

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

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	07/07/2015

Similar Medicare Providers

1467309674 — JOANA MARIE CARLSEN
Practice Location Address:

21 S PARK BLVD STE 21
GREENWOOD, IN
46143-8838

Practice Phone: 317-449-2104
Practice Fax:

1174479158 — HALEY MARIE MILLER
Practice Location Address:

21 S PARK BLVD STE 21
GREENWOOD, IN
46143-8838

Practice Phone: 317-449-2104
Practice Fax:

1487509899 — JENAE ELIZABETH CARLETON
Practice Location Address:

21 S PARK BLVD STE 21
GREENWOOD, IN
46143-8838

Practice Phone: 317-449-2104
Practice Fax:

1952319113 — VISTACARE USA, LLC
Practice Location Address:

37 S PARK BLVD BLDG 1
GREENWOOD, IN
46143-8838

Practice Phone: 317-788-0300
Practice Fax: 317-788-8748

1215174016 — CEIL WINN UPCHURCH BS, OT/L
Practice Location Address:

21 S PARK BLVD STE 21
GREENWOOD, IN
46143-8838

Practice Phone: 317-449-2104
Practice Fax: 765-454-9759

1730417544 — MRS. MELISSA KAY CHEVALIER MS, BCBA
Practice Location Address:

21 S PARK BLVD , SUITE 21
GREENWOOD, IN
46143-8838

Practice Phone: 317-449-2104
Practice Fax: 765-450-6664

Directions to “ DR. ASHLEY NICOLE SUMMERS DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.