Active NPI
Ashley Dion Fulkerson, PT
- Physical Therapist
- Stroud, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3362
- Practice address
- 320 N 4TH Ave
Stroud, OK 74079-3641 - Phone
- (918) 968-2656
- Fax
- (918) 968-2659
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- 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 | 3362 | OK | Primary |
Addresses
Primary practice location
320 N 4TH Ave
Stroud, OK 74079-3641
Mailing address
320 N 4TH Ave
Stroud, OK 74079-3641
Phone (918) 968-2656
Other names 1
- Miss Ashley Dion Young
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 |
|---|---|---|---|
| 3362 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Therapy Services, L.L.C. | Physical Therapist | Current | Accepting new patients |
| Results Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Simpson Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
| Clinton M. Smith DC PC | Past | Accepting new patients | |
| Phoenix Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Fidelity Health Care Consultants, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400
17709 Old Jefferson Hwy
Ste A
Prairieville, LA 70769
Phone (225) 677-8400
Organizations & group practices 6
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.
-
dba Results Physical Therapy
- Physical Therapy Clinic/Center
- Mannford, OK
- NPI 1992033708
Physical Therapist
-
dba Advantage Therapy
- Physical Therapist
- Prairieville, LA
- NPI 1356400345
-
- Rehabilitation Clinic/Center
- Stroud, OK
- NPI 1720019953
Physical Therapist
-
- Physical Therapist
- Cushing, OK
- NPI 1093735607
-
- Chiropractor
- Breese, IL
- NPI 1376694836
-
- Physical Therapist
- Swansea, IL
- NPI 1659525368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386664985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N 4TH AVE",
"city": "STROUD",
"state": "OK",
"postal_code": "740793641",
"telephone_number": "918-968-2656",
"fax_number": "918-968-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N 4TH AVE",
"city": "STROUD",
"state": "OK",
"postal_code": "740793641",
"telephone_number": "918-968-2656",
"fax_number": "918-968-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULKERSON",
"first_name": "ASHLEY",
"middle_name": "DION",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "YOUNG",
"middle_name": "DION",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stroud, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.