Individual provider Active NPI

Carol A Aselage, CO, LO

  • Prosthetic/Orthotic Supplier
  • Corpus Christi, TX
National Provider Identifier
1154430429
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
203 Issued in TX
Practice address
1001 Louisiana Ave Ste 304
Corpus Christi, TX 78404-2861
Phone
(361) 854-2355
Fax
(361) 854-5521
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 203 TX
Physical Therapist 225100000X 1029460 TX
Prosthetic/Orthotic Supplier 335E00000X 203 TX Primary

Addresses

Primary practice location

1001 Louisiana Ave Ste 304
Corpus Christi, TX 78404-2861

Mailing address

1001 Louisiana Ave Ste 304
Corpus Christi, TX 78404-2861
Phone (361) 854-2355

Other identifiers 2

IdentifierTypeStateIssuer
087359801MedicaidTX
010665001MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1029460TXMDPhysical Therapist
203TXMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Aselage Orthotic Services Prosthetic/Orthotic Supplier Past Accepting new patients
Carol a Aselage Prosthetic/Orthotic Supplier Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1154430429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 304",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042861",
            "telephone_number": "361-854-2355",
            "fax_number": "361-854-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 304",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042861",
            "telephone_number": "361-854-2355",
            "fax_number": "361-854-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASELAGE",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "CO, LO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "203",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1029460",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087359801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010665001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.