Active NPI
Annette B Tulley, PT, DPT, CERT. MDT
- Physical Therapist
- Richmond Heights, MO
National Provider Identifier
1275848491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001199
- Practice address
- 1027 Bellevue Ave
Suite 15
Richmond Heights, MO 63117-1851 - Phone
- (314) 768-5375
- Fax
- (314) 768-5376
- NPI assigned
- Aug 12, 2010
- 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 | 001199 | MO | Primary |
Addresses
Primary practice location
1027 Bellevue Ave
Suite 15
Richmond Heights, MO 63117-1851
Mailing address
1027 Bellevue Ave
Suite 15
Richmond Heights, MO 63117-1851
Phone (314) 768-5375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001199 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1275848491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 BELLEVUE AVE",
"address_2": "SUITE 15",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171851",
"telephone_number": "314-768-5375",
"fax_number": "314-768-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 BELLEVUE AVE",
"address_2": "SUITE 15",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171851",
"telephone_number": "314-768-5375",
"fax_number": "314-768-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLEY",
"first_name": "ANNETTE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PT, DPT, CERT. MDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "001199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, MO
- Ti TMS and Behavioral Health LLC
- Touchpoint Injury and Neuro Group, LLC
- Philip E. Treu, O.D.
- Cathy Melissa Troue, PMHNP-BC
- True North Career Consulting, LLC
- Unlocking Potential Within, LLC
- Christopher Alan Utrup, D.C.
- Sharon Kaye Vance, RD LD
- Anna Varghese, MA, NCC
- Elizabeth Tina Veraldi, OTR/L, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.