Dene M. Fulton, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1476 Issued in MS

Practice address

2304 Jackson Ave W
Oxford, MS 38655-5416

Phone

(662) 234-8559

Fax

(662) 234-7923

NPI assigned

Jun 17, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Therapy Services Inc

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1851462485
  Medicare reassignment
• Professional Therapy Services Inc

  • Physical Therapist
  • Oxford, MS
  • NPI 1801968318
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1558366252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 JACKSON AVE W",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555416",
            "telephone_number": "662-234-8559",
            "fax_number": "662-234-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 JACKSON AVE W",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555416",
            "telephone_number": "662-234-8559",
            "fax_number": "662-234-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "DENE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "650021550",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09727885",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Frazier, PA-C
• Freds Stores of Tennessee Inc
• Pamela Mashelle Frost, M.S.
• Shannon Michelle Fryery, NP
• Amber Fuller, M.A.
• Michael G Fulton, P. T.
• G & M of Oxford, Inc
• G & M of Oxford, Inc
• G and M Pharmacy
• Barbara Michelle Gage, MA, CCC-SLP

• Physical Therapist in Oxford, MS
• Providers in Oxford, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.

Verify at the official NPI Registry.