Sara Lynn Fultz, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6462 Issued in TN

Practice address

7796 Wolf Trail CV
Suite 102
Germantown, TN 38138-1782

Phone

(901) 624-5020

Fax

(901) 624-5021

NPI assigned

Feb 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sara Lynn Johnson Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midsouth Orthopaedic RehabilitationGroup PAC ID 2264515790, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD
• FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

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.

• Midsouth Orthopaedic Rehabilitation

  • Specialist
  • Germantown, TN
  • NPI 1386835940

  TN

  Medicare reassignment Care Compare group NPD
• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491

  TN

  Medicare reassignment NPD
• Memphis Obstetrics and Gynecological Association PC

  • Obstetrics & Gynecology Physician
  • Bartlett, TN
  • NPI 1306884911

  TN

  Medicare reassignment NPD
• Moses and Johnson Therapy Associates LLC

  • Physical Therapist
  • Cordova, TN
  • NPI 1073137063
  NPD Authorized official
• Womens Health Specialists, PLLC

  • Obstetrics & Gynecology Physician
  • Germantown, TN
  • NPI 1598709263
  NPD
• Andrews & Gant Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hendersonville, TN
  • NPI 1437187515
  NPD (past)
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1609117811
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1295701142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7796 WOLF TRAIL CV",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381782",
            "telephone_number": "901-624-5020",
            "fax_number": "901-624-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JOHNSON",
            "middle_name": "LYNN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia C Friedman, LPC
• Elizabeth Mary Friedmann
• From the Heart Therapy PLLC
• Monica Fukala
• Lauren Murphy Fulmer, MD
• Kelley Funderburg, APRN
• William Rodger Funderburg, M.D.
• Tish Chalmers Furr, DNP, APRN, FNP-BC
• G I Diagnostic and Therapeutic Center LLC
• Matthew Gabriel

• All providers in Germantown, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.