Richard Sean Fulmer, LMT, CPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA59413 Issued in FL

Practice address

20 Bruce LN
Palm Coast, FL 32137

Phone

(386) 986-5125

NPI assigned

Aug 19, 2013

Sex

Male

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1174956775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRUCE LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378713",
            "telephone_number": "386-986-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRUCE LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32137",
            "telephone_number": "386-986-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "RICHARD",
        "middle_name": "SEAN",
        "credential": "LMT, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA59413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric William Freiler, DPM
• Ryan Frezza
• Florence Robert Fruehan, DO
• Kristen Ann Fuentes, HAS
• Sara Fulkerson
• Aislynn Christine Fulton, M.A.
• Functional Integrative Training, Inc.
• Nick Furlong
• Michael Gable, DO
• Alexandra Kelly Gabriel, ARNP

• Specialist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.