Individual provider Active NPI

Ashleigh Kristen Tazzioli, DPT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1538413539
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016090 Issued in MI
Practice address
1350 Kirts Blvd
Suite 120
Troy, MI 48084-4851
Phone
(248) 519-4900
Fax
(248) 269-0385
NPI assigned
Oct 30, 2012
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 5501016090 MI Primary

Addresses

Primary practice location

1350 Kirts Blvd
Suite 120
Troy, MI 48084-4851

Mailing address

603 W Grand River Ave Ste C
Brighton, MI 48116-2390
Phone (810) 534-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000279 MI Practitioner - Physical Therapist in Private Practice 6800041385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

4324 W Saginaw Hwy
Suite a
Lansing, MI 48917-2163
Phone (517) 220-6059

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016090MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

890 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 261-0916

4324 W Saginaw Hwy
Ste A
Lansing, MI 48917
Phone (517) 220-6059

Interoperability endpoints

  • Direct secure messaging: ashleigh.tazzioli.p4@direct.athleticoltd.nextgenshare.com

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1538413539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W GRAND RIVER AVE STE C",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162390",
            "telephone_number": "810-534-7004",
            "fax_number": "810-775-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD",
            "address_2": "SUITE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-519-4900",
            "fax_number": "248-269-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZZIOLI",
        "first_name": "ASHLEIGH",
        "middle_name": "KRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.