Ashley Tullo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4701 Issued in NH

Practice address

901 Suncook Valley Hwy
Epsom, NH 03234-4329

Phone

(603) 736-4772

NPI assigned

Mar 15, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• CRM Physicians, LLC

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1639754252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NEW CASTLE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012209",
            "telephone_number": "603-738-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNCOOK VALLEY HWY",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344329",
            "telephone_number": "603-736-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 NE 5th St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307345",
            "country_code": "US",
            "telephone_number": "503-666-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8709 SE Causey Ave",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970867552",
            "country_code": "US",
            "telephone_number": "503-653-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3854 Park Overlook Dr",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454315801",
            "country_code": "US",
            "telephone_number": "937-429-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21585 Peabody St",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206502955",
            "country_code": "US",
            "telephone_number": "301-475-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLO",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Severino, OTR
• Julienne Dawn Shackelford, LMT
• Kenna Michelle Sloan, MA
• Amelia Solomon, APRN
• Town of Epsom New Hampshire
• Steven Joseph Warner, LICSW
• Paula A Weeman, ARNP
• Lindsay Weigel, MD
• Deborah A Wood, MA, LCMHC

• All providers in Epsom, NH
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.