Kimberly Fuller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040-0002171 Issued in VT

Practice address

441 Watertower Cir
Suite 100
Colchester, VT 05446-5801

Phone

(802) 655-7575

Fax

(802) 655-1115

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choice Physical Therapy LLC

  • Physical Therapist
  • Montpelier, VT
  • NPI 1730148297
  NPD (past)
• Rush-Select Holdings, LLC

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Portage, IN
  • NPI 1659001451
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316047897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR",
            "address_2": "SUITE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-655-7575",
            "fax_number": "802-655-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR",
            "address_2": "SUITE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-655-7575",
            "fax_number": "802-655-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KIMBERLY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0002171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace L Fraser, M.D.
• Christopher Sean Frederick, MD
• James Edward Freeman IV, DDS
• Danielle Joy Frey, P.T., PH.D.
• Hobie Fuerstman
• Barbara Bernadette Galgon, PT
• Erica Galipeau, P.T.
• Maryellen Gallagher, MS CCC SLP
• Kristy Lynn Garbarino, FNP
• Carol Joy Gardner, DO

• Physical Therapist in Colchester, VT
• Providers in Colchester, VT by specialty
• Physical Therapist in Vermont

• 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.