Daniel Pulliam, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

4005 Ripa Ave
Saint Louis, MO 63125-2378

Phone

(314) 544-1111

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1619446952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 LANSDOWNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091529",
            "telephone_number": "314-609-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 RIPA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252378",
            "telephone_number": "314-544-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Pullarkat, MD
• Alfreda Delores Pulley, PHARMACIST
• Arden O Pulley, D.M.D.
• Debra D Pulley, MD
• Rachel Pulley, MS, RD, LD
• Julia Anne Pulliam, OD
• Kasiemobi Ebelechukwu Pulliam, MD
• Pulmonary & Critical Care Medicine, LLC
• Pulmonary Consultants, Inc (Pulmonary Interpretive Service)
• Pulmonary Consultants,Inc

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.