Ashten Hackett Cullenberg, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4855 Issued in ME

Practice address

16 Old Pike Rd
Cornish, ME 04020-3506

Phone

(207) 625-4300

NPI assigned

Jun 28, 2017

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashten Alexis Hackett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1518488642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD PIKE RD",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD PIKE RD",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203506",
            "telephone_number": "207-625-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLENBERG",
        "first_name": "ASHTEN",
        "middle_name": "HACKETT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHTEN",
            "last_name": "HACKETT",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• A Center for Life Enhancement, Inc.
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• Michael Eugene Coppi, R.PH
• Cornish Denture Center, LLC
• Cornish Family Chiropractic PA,
• Emily Dee, RPH
• John A Dubois, OD
• Anita Helena Flores, MA, CCC-SLP, LCPC
• Foothills Physical Therapy, PA
• Amanda Graber, FNP

• Physical Therapist in Cornish, ME
• Providers in Cornish, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.