Jordan Fultz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

319937 Issued in TX

Practice address

4138 19TH St
Lubbock, TX 79407-2403

Phone

(806) 780-2329

NPI assigned

Oct 22, 2015

Last updated

Nov 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Today of Lubbock LPGroup PAC ID 7315836053, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.17 of 100Reported as group

Quality

45.78

Promoting interoperability

92

Improvement activities

40

Cost

68.13

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Today of Lubbock LP

  dba Physical Therapy Today

  • Physical Therapist
  • Lubbock, TX
  • NPI 1235169590
  Medicare reassignment Care Compare group NPD
• Midland Physical Therapy and Sports Rehabilitation Inc

  dba Midland Physical Therapy

  • Physical Therapist
  • Midland, TX
  • NPI 1316148992
  Medicare reassignment NPD
• Physical Therapy Today of Lubbock LP

  dba Physical Therapy Today

  • Physical Therapist
  • Littlefield, TX
  • NPI 1669990453
  NPD
• Physical Therapy Today of Lubbock, LP

  dba Physical Therapy Today

  • Physical Therapist
  • Amarillo, TX
  • NPI 1083321558
  NPD

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1497127997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072403",
            "telephone_number": "806-780-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "JORDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "319937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280453601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Rae Fuller, PTA
• Anthony Raymond Fuller, CRNA
• Christopher G. Fuller, M.D.
• Courtney Carole Fuller, BSN, RN
• Seunghee Oh Fuller, MD
• Patricia Joan Funck, LCSW
• David L Fung, RPH
• Cindy Furlow, CNA
• Lexie Scarborough Futrell, DNP-A, CRNA
• G Wonette Owen Or Aly Gwinn

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.