Active NPI
Ashleigh Pulliam
- Physician Assistant
- Seffner, FL
National Provider Identifier
1306204938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119973
- Practice address
- 2628 Tulip Tree Cir
Seffner, FL 33584-5876 - Phone
- (904) 993-9181
- NPI assigned
- Feb 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA14983 | FL | |
| Physician Assistant | 363A00000X | PA9119973 | FL | Primary |
Addresses
Primary practice location
2628 Tulip Tree Cir
Seffner, FL 33584-5876
Mailing address
2628 Tulip Tree Cir
Seffner, FL 33584-5876
Phone (904) 993-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2811 Campus Hill Dr
Tampa, FL 33612-9213
Phone (201) 654-6397
3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (201) 654-6397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA14983 | FL | MD | Occupational Therapy Assistant |
| PA9119973 | FL | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1306204938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 TULIP TREE CIR",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335845876",
"telephone_number": "904-993-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 TULIP TREE CIR",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335845876",
"telephone_number": "904-993-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "ASHLEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA14983",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.