Ashley Poulin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2837 Issued in OK

Practice address

13720 E 86TH St N
Owasso, OK 74055-8704

Phone

(918) 609-8088

Fax

(918) 609-8089

NPI assigned

Jan 3, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Group Practice Associates, Inc.

  dba Stillwater Internal Medicine

  • Internal Medicine Physician
  • Stillwater, OK
  • NPI 1033172168
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1922515659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-609-8088",
            "fax_number": "918-609-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "ASHLEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pivotal Pathways LLC
• Brent Plaxico, O.D.
• Lauretta Jem Pontiflet
• Jone Post, D.PH.
• Marcus C Potter
• Timothy Blake Poulter, PHARM D.
• Jillian Renae Prather, D.M.D.
• Desirea Christine Prelesnick
• Beverly Lynn Prentice, M.S., R.D., L.D.
• Providence Surgical Group at Bailey PLLC

• Physical Therapy Assistant in Owasso, OK
• Providers in Owasso, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.