MEDICARE: ASHTON HARRINGTON PT, DPT, LAT, ATC

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	2255A2300X	Athletic Trainer	2122	NC
2	225100000X	Physical Therapist	P16917	NC

General Provider Information

NPI Number	:	1790116457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHTON HARRINGTON PT, DPT, LAT, ATC

Provider Business Mailing Address
First Line	:	300 LAUREL BAY ST NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-7223
Country	:	US
Telephone Number	:	704-302-6504
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 FESTIVAL WAY
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-3286
Country	:	US
Telephone Number	:	330-604-4509
Fax Number	:

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

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	02/05/2022

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