Brandy Dawn Fulson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA698 Issued in OK

Practice address

6525 N Meridian Ave Ste 311
Oklahoma City, OK 73116-1410

Phone

(405) 721-1115

NPI assigned

May 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Careerstaff

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1891047353
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245443274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371844",
            "telephone_number": "918-857-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N MERIDIAN AVE STE 311",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161410",
            "telephone_number": "405-721-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULSON",
        "first_name": "BRANDY",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "PTA698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Fuller, DDS
• Raechyl Fuller
• Wendell Fuller, PHARM.D.
• Yvonne Janice Fuller
• Zenobia Fuller
• Fulton Eye Care PLLC
• Samantha A Fulton
• Angela Fultz, M.A.
• Jeremy D Fultz
• Functional Assestment Centers of Oklahoma

• Physical Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.