Jason Fuller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8077 Issued in TN

Practice address

10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906

Phone

(865) 671-4466

Fax

(865) 671-0228

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

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.

• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1619939766

  Physical Therapist, TN

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Oak Ridge, TN
  • NPI 1316530231
  NPD

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1134290331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CROSS CREEK CT",
            "address_2": "APT B",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296304108",
            "telephone_number": "931-261-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 PARKSIDE DR STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221906",
            "telephone_number": "865-671-4466",
            "fax_number": "865-671-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8077",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brogan Fulks, MD
• Daniel Stephen Fulks, MD
• Full Bloom
• Fuller Rehabilitation and Consulting Services Inc.
• Anthony Blair Fuller, LPC, MHSP
• Katherine L Fuller, AUD
• Lisa Ann Fuller, FNP-BC
• Lisa Ellen Fuller, MS, RD, LDN
• Teia Squires Fuller, PT, DPT
• D. Shane Fulmer, O.T.

• All providers in Knoxville, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.