Active NPI
John Fulton, P.T.
- Physical Therapist
- Wappingers Falls, NY
National Provider Identifier
1427039809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019159
- Practice address
- 2 Delavergne Ave
C/O Center for Physical Therapy
Wappingers Falls, NY 12590-1202 - Phone
- (845) 297-4789
- Fax
- (845) 297-8596
- NPI assigned
- Nov 11, 2005
- Last updated
- May 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019159 | NY | Primary |
Addresses
Primary practice location
2 Delavergne Ave
C/O Center for Physical Therapy
Wappingers Falls, NY 12590-1202
Mailing address
2 Delavergne Ave
C/O Center for Physical Therapy
Wappingers Falls, NY 12590-1202
Phone (845) 297-4789
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2276723 | Other | UNITED HEALTH CARE | |
| 7542427 | Other | AETNA PPO | |
| P3106209 | Other | OXFORD | |
| 3102929 | Other | AETNA HMO | |
| 807052 | Other | MANAGED PHYSICAL NETWORK | |
| Q5081 | Other | NY | BLUE CROSS BLUE SHIELD |
| 000409357001 | Other | HEALTH NOW | |
| 713697 | Other | MVP | |
| 83399 | Other | OPERATING ENGNRS LCL 825 | |
| 2162486 | Other | CCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019159 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1427039809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DELAVERGNE AVE",
"address_2": "C/O CENTER FOR PHYSICAL THERAPY",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125901202",
"telephone_number": "845-297-4789",
"fax_number": "845-297-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DELAVERGNE AVE",
"address_2": "C/O CENTER FOR PHYSICAL THERAPY",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125901202",
"telephone_number": "845-297-4789",
"fax_number": "845-297-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2276723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7542427",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3106209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3102929",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED PHYSICAL NETWORK",
"identifier": "807052",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Q5081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000409357001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "713697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATING ENGNRS LCL 825",
"identifier": "83399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "2162486",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.