Dante Vincent Fulgenzi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

309867 Issued in CA

Practice address

1875 California Ave
Corona, CA 92881-6477

Phone

(951) 407-9233

NPI assigned

Jan 8, 2025

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

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.

• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Northville, MI
  • NPI 1174626329
  Medicare reassignment NPD
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1013484963
  NPD

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1376353805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816477",
            "telephone_number": "951-407-9233",
            "fax_number": "951-407-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816477",
            "telephone_number": "951-407-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENZI",
        "first_name": "DANTE",
        "middle_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303639",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Fritsch
• Kevin Fryer
• Jaelyn Fudge
• Bridget Fuentes
• David Fukuchi
• Fullerton Health Inc
• Fullerton Pharmacy, Inc.
• Navid Parviz Furutan, MD
• Holly Diane Fyda, NP
• Kathryn Ellorin Gabot-Puhawan, M.D.

• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.