Individual provider Active NPI

Ashleigh Gaulke, D.P.T

  • Orthopedic Physical Therapist
  • Sacramento, CA
National Provider Identifier
1215476049
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT292746 Issued in CA
Practice address
2901 K St
Suite 170
Sacramento, CA 95816-5124
Phone
(916) 220-5559
NPI assigned
Feb 13, 2017
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT292746 CA Primary

Addresses

Primary practice location

2901 K St
Suite 170
Sacramento, CA 95816-5124

Mailing address

10390 Coloma Rd
Ste 7
Rancho Cordova, CA 95670-2152
Phone (916) 858-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609000999 CA Practitioner - Physical Therapist in Private Practice 1759702020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stac Physical Therapy Laguna IncGroup PAC ID 7416384391, 5 clinicians

Practice addresses (Care Compare)

9563 Laguna Springs Dr
Elk Grove, CA 95758-8204
Phone (916) 691-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292746CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Physical Therapy & Hand Rehabilitation Orthopedic CurrentSince Mar 1, 2020 Accepting new patients

Locations

9563 Laguna Springs Dr
Elk Grove, CA 95758
Phone (916) 224-5918

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1215476049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 COLOMA RD",
            "address_2": "STE 7",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702152",
            "telephone_number": "916-858-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 K ST",
            "address_2": "SUITE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165124",
            "telephone_number": "916-220-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULKE",
        "first_name": "ASHLEIGH",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.