Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306397278 Individual Practitioner Female Practitioner

Dr. Ashlie Santine Kipperman , PT, DPT

Specialist • Wallingford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Ashlie Kipperman, PT, DPT is a registered healthcare professional specializing in Specialist in Wallingford, CT. Practice services are available at 22 MASONIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22 Masonic Ave

Wallingford, CT 064923048

Telephone 2036795959
Associated Practice Facility / Clinic
🏢 Masonic Healthcare Center Facility NPI 1780689836

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Wallingford, CT (452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CT 011061

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Practice Locations

382 S Main St

Cheshire, CT 064103115

Phone: 2032509663

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Carol Fortin , PT

Physical Therapist - Geriatrics

NPI 1053799205

Physical Therapist

Laurie Ritchie , PTA

Physical Therapy Assistant

NPI 1134338528

Physical Therapist Assistant

Kari Panuccio , OTR, L

Occupational Therapist

NPI 1154571503

Occupational Therapist Registered, L

Laura Halovatch , MS, CCC, SLP

Speech-Language Pathologist

NPI 1346498904

Master of Science, Certificate of Clinical Competence, Speech-Language Pathologist

Susanna Landino

Occupational Therapist

NPI 1356889158
Paula Silva

Occupational Therapist

NPI 1437686615

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 17, 2019

Recorded as ASHLIE KIPPERMAN, PT, DPT

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2016

Registered at 22 MASONIC AVE, WALLINGFORD, CT 064923048 (Tel: 2036795959)

📍
Updated Business Mailing Address October 17, 2016

Registered at 22 MASONIC AVE, WALLINGFORD, CT 064923048 (Tel: 2036795959)

👤
Provider Name / Credentials Updated October 17, 2016

Recorded as ASHLIE EISLER, PT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Specialist (License #011061 in CT)

🟢
Initial NPI Registration & Enumeration October 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306397278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2016
Last Update: May 17, 2019
Sole Proprietor: No

Mailing Address

22 Masonic Ave

Wallingford, CT 064923048

Phone: 2036795959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.