Active NPI
Donald Garrett Fulton, PT, DPT
- Physical Therapist
- Big Spring, TX
National Provider Identifier
1235518986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3117170
- Practice address
- 306 W 3Rd St
Big Spring, TX 79720-2429 - Phone
- (432) 267-3806
- Fax
- (432) 267-3809
- NPI assigned
- May 28, 2015
- Sex
- Male
- 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 | 3117170 | TX | Primary |
Addresses
Primary practice location
306 W 3Rd St
Big Spring, TX 79720-2429
Mailing address
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021635001 | Medicaid | TX |
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 |
|---|---|---|---|
| 3117170 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1235518986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W 3RD ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797202429",
"telephone_number": "432-267-3806",
"fax_number": "432-267-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W 3RD ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797202429",
"telephone_number": "432-267-3806",
"fax_number": "432-267-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "DONALD",
"middle_name": "GARRETT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3117170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021635001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.