Individual ProviderAshley BallardPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6210 Beach Blvd, Jacksonville, FL 32216-2706(904) 345-8100(904) 345-7251PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Ballard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1720796519Provider TypeIndividualFull NameBallard, AshleyGenderFemaleSole ProprietorNoEnumeration Date11/9/2022Last Updated11/9/2022Contact InformationPractice LocationPractice Address6210 Beach Blvd, Jacksonville, FL 32216-2706Phone(904) 345-8100FaxUnlisted FaxMailing LocationMailing Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 345-7251FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePTA32192Florida