Dawn Maria Fulghum, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2003042 Issued in TX

Practice address

2450 Bickers St
Dallas, TX 75212-1507

Phone

(214) 879-0888

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1043791684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 STETTER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017561",
            "telephone_number": "682-560-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 BICKERS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752121507",
            "telephone_number": "214-879-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGHUM",
        "first_name": "DAWN",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2003042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Anne Fulcher, M.S., CCC-SLP
• Jeana Elizabeth Fulenwider, PT, DPT
• Stephanie Fulgencio, LMFT
• Angela K Fulgham-Gardner, MD
• Pat Fox Fulgham, M.D.
• Full Circle Counseling and Family Services, PLLC
• Full Life Outreach Medical Center LLC
• Aileen Fullchange, LP
• Andrea Nicole Fuller, PA-C
• Dale Eugene Fuller, MD

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.