Lynette Kay Colyer Fultz, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT2368 Issued in CA

Practice address

3100 W Warner Ave
Santa Ana, CA 92704-5331

Phone

(714) 545-8946

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023027372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 W CHERRY AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333601",
            "telephone_number": "714-870-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045331",
            "telephone_number": "714-545-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER FULTZ",
        "first_name": "LYNETTE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danissa Colombana, APC, PPS
• Marissa Colon, MA CCC-SLP
• Kimberly Nicole Colton
• Kevin T Columnas, BEHAVIORAL TECHNICIA
• Colwell Clinical Laboratories Inc
• Janelle Pham Comfort, D.M.D.
• Matthew Comfort, D.M.D
• Community Care Health Centers
• Community Dental Services
• Community Dental Services

• All providers in Santa Ana, CA
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.