Individual provider Active NPI

Morgan Whitney Fulmer

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1578256129
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07372 Issued in KS
Practice address
7335 W 33Rd St N
Wichita, KS 67205-9368
Phone
(316) 866-7067
Fax
(844) 788-4005
NPI assigned
May 31, 2023
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07372 KS Primary

Addresses

Primary practice location

7335 W 33Rd St N
Wichita, KS 67205-9368

Mailing address

1010 N Ridge Rd Apt 1212
Wichita, KS 67212-6072
Phone (785) 561-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810003705 KS Practitioner - Physical Therapist in Private Practice 9830551662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham Physical Therapy LLCGroup PAC ID 2466721931, 5 clinicians

Practice addresses (Care Compare)

1443 N Ridge Rd
Wichita, KS 67212-2995

7335 W 33Rd St N
Wichita, KS 67205-9368
Phone (316) 866-7067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham Physical Therapy LLC Physical Therapist CurrentSince Jul 25, 2023 Accepting new patients

Locations

1443 N Ridge Rd
Wichita, KS 67212
Phone (316) 227-1767

7335 W 33rd St N
Wichita, KS 67205
Phone (316) 773-0405

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1578256129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N RIDGE RD APT 1212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126072",
            "telephone_number": "785-561-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W 33RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059368",
            "telephone_number": "316-866-7067",
            "fax_number": "844-788-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "MORGAN",
        "middle_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.