Kaitlyn Fuller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3125524 Issued in TX

Practice address

7801 N Lamar Blvd Ste E216
Austin, TX 78752-1020

Phone

(512) 646-4673

Fax

(310) 882-5451

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Napa Center Austin, LLC

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1962024281

  Physical Therapist

  NPD

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1093138158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE E216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521020",
            "telephone_number": "512-646-4673",
            "fax_number": "310-882-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11840 S La Cienega Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902503459",
            "country_code": "US",
            "telephone_number": "424-269-3400",
            "fax_number": "310-882-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KAITLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298008",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3125524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Fuller, SLP
• Devon A Fuller, APRN, FNP-C
• Ersten Fuller, M.A., LPC
• Jason P. Fuller, D.C.
• Jennifer Quinn Fuller, LPC
• Katie Fuller
• Kerry-Ann Fuller, PHARM.D.
• Laura Linda Fuller, CCC/SLP, M.S.
• Mia Fuller
• Ralph S. Fuller Jr., DDS

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.