MEDICARE: ASHLEY DIXON

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	225200000X	Physical Therapy Assistant	PTA33201	FL

General Provider Information

NPI Number	:	1033076542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DIXON

Provider Business Mailing Address
First Line	:	620 NW 23RD TER
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-2236
Country	:	US
Telephone Number	:	954-204-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 NW 23RD TER
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-2236
Country	:	US
Telephone Number	:	954-204-9330
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ASHLEY DIXON ” Practice Location

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