Active NPI
Ashli Corazon Bartolo, PA
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 14860 Montfort Dr # 140
Dallas, TX 75254-6718 - Phone
- (972) 201-3552
- NPI assigned
- May 11, 2023
- Last updated
- Jan 24, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | PA18663 | TX |
Addresses
Primary practice location
14860 Montfort Dr # 140
Dallas, TX 75254-6718
Mailing address
14860 Montfort Dr # 140
Dallas, TX 75254-6718
Other practice location 1
8420 Abrams Rd Ste 208
Dallas, TX 75243-7582
Phone (214) 341-5630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- May accept Medicare assignment
Practice addresses (Care Compare)
14850 Montfort Dr
Suite 181
Dallas, TX 75254-1423
14860 Montfort Dr
Suite 140
Dallas, TX 75254-6700
14860 Montfort Dr
Suite 140
Dallas, TX 75254-6718
3219 Pamplona
Grand Prairie, TX 75054-6858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18663 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kokoro Body Therapies, PLLC | Current | Accepting new patients | |
| Kokoro Health & Wellness Inc. | Current | Accepting new patients |
Locations
14850 Montfort Dr
Ste 181
Dallas, TX 75254
Phone (214) 550-1469
14860 Montfort Dr
Ste 140
Dallas, TX 75254
Phone (214) 550-1469
8420 Abrams Rd
Ste 208
Dallas, TX 75243
Phone (214) 341-5630
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGCJBD
- https://fhir4.healow.com/fhir/r4/HGCJBD/Endpoint/HGCJBD
Organizations & group practices 2
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": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1396435350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14860 MONTFORT DR # 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752546718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 MONTFORT DR # 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752546718",
"telephone_number": "972-201-3552"
}
],
"practiceLocations": [
{
"address_1": "8420 Abrams Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752437582",
"country_code": "US",
"telephone_number": "214-341-5630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTOLO",
"first_name": "ASHLI",
"middle_name": "CORAZON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA18663",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.