Mary Elizabeth Fuller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1194377 Issued in TX

Practice address

522 W Main St
Edna, TX 77957-2569

Phone

(361) 782-0798

Fax

(361) 782-0799

NPI assigned

May 3, 2010

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 names 1

• Mary Elizabeth Littlefield Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hayden Chiropractic, PLLCGroup PAC ID 2062577992, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hayden Chiropractic, PLLC

  • Chiropractor
  • Edna, TX
  • NPI 1053562850

  Physical Therapist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1295052009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572569",
            "telephone_number": "361-782-0798",
            "fax_number": "361-782-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572569",
            "telephone_number": "361-782-0798",
            "fax_number": "361-782-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1194377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LITTLEFIELD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert W. Farris Jr., APRN,BC
• Emilie Faucheu, DMD
• Savithri Hapuhennadige Fernando, M.D.
• FMSC Edna Operating Company LP
• Shelby Kotulek Freeland, PA-C
• Eleana Garcia
• Gig Healthcare Services Inc
• Grace Ann Green, PTA
• H-E-B, LP
• Ashley Nicole Harris, FNP-C

• All providers in Edna, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.