ASHLEY CREEK PHYSICAL THERAPY, INC – Physical Therapist, NPI 1447422019

ASHLEY CREEK PHYSICAL THERAPY, INC is a healthcare provider. based in Vernal, Utah. specializing in Physical Therapist. The organization holds a License No. 121905-2401 (UT). The NPI Number for ASHLEY CREEK PHYSICAL THERAPY, INC is 1447422019

Main info

Organization
Name
ASHLEY CREEK PHYSICAL THERAPY, INC
NPI
1447422019
Phone
(435) 789-0022
Address
595 N VERNAL AVE
Authorized Official
MR. JERRRY D KULLAND OWNER/PHYSICAL THERAPIST P.T.
Enumeration Date
24 March 2008
Last Update Date
5 June 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ASHLEY CREEK PHYSICAL THERAPY, INC

  • 595, North Vernal Avenue, Vernal, Uintah County, Utah, 84078, United States

    VERNAL, UT 840783701

    Phone: (435) 789-0022

    Fax: (435) 789-2955

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050202000049OClinic/Group PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84078)

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Reviews

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Frequently asked questions

What unique ID ties claims to ASHLEY CREEK PHYSICAL THERAPY, INC?
NPI 1447422019 is assigned to ASHLEY CREEK PHYSICAL THERAPY, INC under the national enumeration system.
Is ASHLEY CREEK PHYSICAL THERAPY, INC active in the national directory?
ASHLEY CREEK PHYSICAL THERAPY, INC's public NPI profile is in an active state.
Can you summarize ASHLEY CREEK PHYSICAL THERAPY, INC's specialty in plain language?
Clinically, the directory lists ASHLEY CREEK PHYSICAL THERAPY, INC with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for ASHLEY CREEK PHYSICAL THERAPY, INC?
We surface Vernal, Utah for ASHLEY CREEK PHYSICAL THERAPY, INC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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