Hayden Reese Fuller

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8110 W Union Hills Dr Ste 320
Glendale, AZ 85308-8181

Phone

(623) 248-8830

Fax

(623) 248-8772

NPI assigned

Dec 3, 2024

Sex

Male

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Giardina Sportsmedicine Consultants IncGroup PAC ID 9931122942, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Giardina Sportsmedicine Consultants, Inc.

  • Physical Therapy Clinic/Center
  • Cave Creek, AZ
  • NPI 1013125483

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1346056595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 W UNION HILLS DR STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088181",
            "telephone_number": "623-248-8830",
            "fax_number": "623-248-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 W UNION HILLS DR STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088181",
            "telephone_number": "623-248-8830",
            "fax_number": "623-248-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "HAYDEN",
        "middle_name": "REESE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Fry, ATC, LAT
• FSL Pathways
• FSL Pathways
• FSL Programs
• Brianna J Fuhrman-Johnson, LMT
• Christopher Leigh Fullmer
• Samaiyah Fullylove
• Mary Beth Funnell, RN
• Catherine G Furey, OD
• Edward Kelly Furlong, DMD

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.