Nancy D Fulfer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000000446 Issued in TN

Practice address

55 Humphreys Center Dr
Suite 200 the Pain Clinic Physical Therapy
Memphis, TN 38120-2366

Phone

(901) 747-0040

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nancy Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245304708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 441 THE PAIN CLINIC PHYSICAL THERAPY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480441",
            "telephone_number": "901-747-0040",
            "fax_number": "901-747-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR",
            "address_2": "SUITE 200 THE PAIN CLINIC PHYSICAL THERAPY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-747-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFER",
        "first_name": "NANCY",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000000446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TN",
            "identifier": "4061923",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3658435",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Fryman
• Christian Jan Fuchs
• Jazzmine Fuentes, LMSW
• Beverly Fugler
• Rachel Denise Fulcher, CRNA, DNP
• Fulfillment Home Care Agency LLC
• Fulfillment Transportation Service LLC
• Kelly Fulgham, RDH
• Abigail Lorraine Fulkerson, MD
• Daniel E Fulkerson

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.