Active NPI
Ashley Kae Fuller, PT, DPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1043752835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0014436
- Practice address
- 104 Pro Rodeo Dr
Suite 110
Colorado Springs, CO 80919-2334 - Phone
- (719) 592-1788
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0014436 | CO | Primary |
Addresses
Primary practice location
104 Pro Rodeo Dr
Suite 110
Colorado Springs, CO 80919-2334
Mailing address
1020 Robbie VW
Apt 2122
Colorado Springs, CO 80920-8227
Phone (321) 279-8426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0014436 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1043752835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 ROBBIE VW",
"address_2": "APT 2122",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208227",
"telephone_number": "321-279-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PRO RODEO DR",
"address_2": "SUITE 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192334",
"telephone_number": "719-592-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ASHLEY",
"middle_name": "KAE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0014436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.