Gail Fulsom, PTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12489 Issued in NC

Practice address

2529 Raeford Rd
Fayetteville, NC 28305-5098

Phone

(757) 270-4785

NPI assigned

Sep 9, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1497202212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SAN CARLOS CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145264",
            "telephone_number": "757-270-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055098",
            "telephone_number": "757-270-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULSOM",
        "first_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5970",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "12489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobi Alyssa Fuller, PT, DPT
• Torica Fuller, APRN
• Kaphazija Klara Fulmore, LCSWA
• Zaneta Fulmore
• Zanyla Fulmore
• Kaniyah Fulton
• Isaura G Fumero Rivera
• Joella Fundakowski, LMBT
• Nannette Smith Funderburk, PHD, LCMHCS
• Tracy L Funk, PA-C

• Massage Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.