Sophia A. Fuller, PT, DPT, CMTPT, CCRP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10386 Issued in AL

Practice address

1506 N McKenzie St Ste 109
Foley, AL 36535-2264

Phone

(251) 923-5590

Fax

(251) 923-5592

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1366933541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST STE 109",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352264",
            "telephone_number": "251-923-5590",
            "fax_number": "251-923-5592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10518 Spotsylvania Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082693",
            "country_code": "US",
            "telephone_number": "540-710-5341",
            "fax_number": "540-710-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SOPHIA",
        "middle_name": "A.",
        "credential": "PT, DPT, CMTPT, CCRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10386",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Primary Health Center, Inc
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• Fresenius Medical Care Foley, LLC
• Sharon Ann Friday, PHD.
• Patrick James Fry, MD
• Future Physical Therapy, LLC
• G.O.a.L.S. Therapeutic Daycare L.L.C.
• Matthew T Gaines, MD
• Beate C. Gant, PT
• Melissa M. Garcia Gonzalez

• Physical Therapist in Foley, AL
• Providers in Foley, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.