Active NPI
Denise H Fulbright
- Physical Therapist
- Cross Hill, SC
National Provider Identifier
1083647572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 169
- Practice address
- 132 Gruber Rd
Cross Hill, SC 29332-4818 - Phone
- (864) 201-4301
- Fax
- (678) 840-2112
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 169 | SC | Primary |
Addresses
Primary practice location
132 Gruber Rd
Cross Hill, SC 29332-4818
Mailing address
PO Box 369
Simpsonville, SC 29681-0369
Phone (864) 201-4301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortina Consultants, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083647572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296810369",
"telephone_number": "864-201-4301",
"fax_number": "678-840-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 GRUBER RD",
"city": "CROSS HILL",
"state": "SC",
"postal_code": "293324818",
"telephone_number": "864-201-4301",
"fax_number": "678-840-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULBRIGHT",
"first_name": "DENISE",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- 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.