Mary H Fulton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006854L Issued in PA

Practice address

189 W Mountain Top Rd
Summit Hill, PA 18250-1758

Phone

(570) 645-5394

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

• In Your Home Physical Therapy LLC

  • Physical Therapist
  • Lehighton, PA
  • NPI 1588959761
  Medicare reassignment NPD

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1588906259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 W MOUNTAIN TOP RD",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 W MOUNTAIN TOP RD",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501758",
            "telephone_number": "570-645-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MARY",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006854L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk A. Arner, DMD
• Marlene M Basiago, O.T.R./L.,P.T.
• Childrens General Dentistry PC
• Helping Hand Clinic
• Donna Kulha
• Jennifer Ann Lee
• Tiffany Mouery
• Heather Lynn O'Gurek, IBCLC

• Physical Therapist in Summit Hill, PA
• Providers in Summit Hill, PA by specialty
• Physical Therapist in Pennsylvania

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