Ashley Lack, MPT
NPI 1245896836ActiveIndividual· Physical Therapist· Glen Carbon, IL
Physical Therapist (MPT) in Glen Carbon, Illinois, licensed in IL and MO, with an NPI issued in May 2019.
Overview
| NPI | 1245896836 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | May 19, 2019 |
| Last updated in NPPES | Jun 26, 2020 |
| Certified by provider | Jun 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.019121 | IL |
| Physical Therapist | 225100000X | 2009034462 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Glen Carbon
- 1144504754
- 1942359872
- 1508874892
- 1336832138
- 1013857663
- 1891811071
- 1265448799
- 1013500107
- 1043555410
- 1962537530
- 1275634446
- 1407861065