Marilyn Cecelia Fuller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

621 Maple Ave
Wilmette, IL 60091-3433

Phone

(847) 251-1808

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cortlyn Therapy PCGroup PAC ID 8729495684, 141 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.

• Cortlyn Therapy, PC

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730

  IL

  Medicare reassignment Care Compare group NPD
• Donna Parise Byrne, PT, LTD

  • Physical Therapist
  • Wilmette, IL
  • NPI 1861799256
  NPD (past)
• Houglum Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wilmette, IL
  • NPI 1952767451
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306976493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MAPLE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913433",
            "telephone_number": "847-251-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAPLE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913433",
            "telephone_number": "847-251-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MARILYN",
        "middle_name": "CECELIA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Veronica Frenkel, LCSW
• Katherine Friedberg, L.S.W.
• Neil R Friedman, M.D.
• Elena Frishman, PHD
• Alene Frost
• Alexis Ganzer
• Gary J Rogers DPM PC
• Gary Rogers DPM
• Kyle Gaughan
• Richard Gauthier, LCSW

• Physical Therapist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Physical Therapist in Illinois

• 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.
• 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.