Individual provider Active NPI

Ashley Dion Fulkerson, PT

  • Physical Therapist
  • Stroud, OK
National Provider Identifier
1386664985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3362 Issued in OK
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
3362OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Therapy Services, L.L.C. Physical Therapist CurrentSince Aug 9, 2016 Accepting new patients
Results Therapy Services LLC Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients
Simpson Physical Therapy Center Physical Therapist PastSince May 3, 1999 Accepting new patients
Clinton M. Smith DC PC PastSince Apr 17, 2000 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.

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.

Verify at the official NPI Registry.