Individual provider Active NPI

Katie E Fulton, DPT

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1235377011
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
97 Commerce Way
Suite 101
Dover, DE 19904-7794
Phone
(304) 724-6344
Fax
(302) 449-2047
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

97 Commerce Way
Suite 101
Dover, DE 19904-7794

Mailing address

200 Cleaver Farm Rd
Suite 400
Middletown, DE 19709-1630
Phone (302) 449-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000031 DE Practitioner - Physical Therapist in Private Practice 4385701598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 S Main St
Suite 300
Smyrna, DE 19977-7727
Phone (302) 389-7855

108 Broadkill Rd
Milton, DE 19968-1008
Phone (302) 608-9008

1456 Pulaski Hwy Premier-Bear
Premier PT and Sports Perf LTD
Newark, DE 19702-5108
Phone (302) 440-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Sports Performance Limited Partnership CurrentSince Jan 1, 2016 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients

Locations

20268 Plantations Rd
Ste B
Lewes, DE 19958
Phone (302) 449-2048

1050 Industrial Dr
Ste 210
Middletown, DE 19709

200 Cleaver Farms Rd
Ste 400
Middletown, DE 19709
Phone (302) 449-2011

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1235377011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEAVER FARM RD",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091630",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 COMMERCE WAY",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047794",
            "telephone_number": "304-724-6344",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KATIE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.