Ashley Dion Fulkerson, PT
Individual provider Active NPI Physical Therapist · Stroud, OK
NPI 1386664985 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386664985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3362 (OK)
- Practice address
- 320 N 4TH Ave
Stroud, OK 74079-3641 - Phone
- (918) 968-2656
- Fax
- (918) 968-2659
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3362 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
| Advantage Therapy Services, L.L.C. | Physical Therapist | Current |
Accepting new patients |
| Fidelity Health Care Consultants, P.C. | Physical Therapist | Past | Accepting new patients |
| Simpson Physical Therapy Center | Physical Therapist | Past |
Accepting new patients |
| Phoenix Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Clinton M. Smith DC PC | Past |
Accepting new patients |
Locations
17709 Old Jefferson Hwy
Ste A
Prairieville, LA 70769
Phone (225) 677-8400
17094 Airline Hwy
Prairieville, LA 70769
Phone (225) 677-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3362 | OK | Yes |
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
- Miss Ashley Dion Young
Other providers in Stroud, OK
- Jadan Enoch
- Cameron Keith Ethridge
- Fidelity Health Care Consultants, P.C.
- Francis Dental PLLC
- Brett Virgel Francis
- Arnulfo Alexander Garcia
- Daniel Hall
- Amanda Harkreader
- Melissa Kirby Heuer
- Toby Hill
All providers in Stroud, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.