MEDICARE: DR. ASHLEY PUGH 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	1381853	TX

General Provider Information

NPI Number	:	1801679410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY PUGH DPT

Provider Business Mailing Address
First Line	:	2555 GULF FWY S STE 400
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-6742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 GULF FWY S STE 400
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-6742
Country	:	US
Telephone Number	:	832-932-9820
Fax Number	:

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

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	03/13/2026

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