Jill Ashly Cole, LAT, ATC, MS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5354 Issued in TX

Practice address

10700 Fry Rd
Cypress, TX 77433-7698

Phone

(281) 373-2531

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1033675673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24606 BRILLIANT CIR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 FRY RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337698",
            "telephone_number": "281-373-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 Parkridge Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "TX",
            "postal_code": "762102228",
            "country_code": "US",
            "telephone_number": "940-497-6176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "JILL",
        "middle_name": "ASHLY",
        "credential": "LAT, ATC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelli Cole, BCBA
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• Serrita Loren Coleman, M.A., LPC
• Collaborative Autism Resources and Education
• Sophia Collado

• Athletic Trainer in Cypress, TX
• Providers in Cypress, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.