Individual provider Active NPI

Erica R. Fulks, P.T.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1639318850
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1181849 Issued in TX
Practice address
2829 Babcock Road
Suite 710
San Antonio, TX 78229-6015
Phone
(210) 804-5400
Fax
(210) 678-4142
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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 1181849 TX Primary

Addresses

Primary practice location

2829 Babcock Road
Suite 710
San Antonio, TX 78229-6015

Mailing address

2829 Babcock Road
Suite 710
San Antonio, TX 78229-6015
Phone (210) 804-5400

Other identifiers 1

IdentifierTypeStateIssuer
1181849OtherTXPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1181849TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center Past Accepting new patients
The San Antonio Orthopaedic Group, LLP Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1639318850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK ROAD",
            "address_2": "SUITE 710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296015",
            "telephone_number": "210-804-5400",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK ROAD",
            "address_2": "SUITE 710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296015",
            "telephone_number": "210-804-5400",
            "fax_number": "210-678-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKS",
        "first_name": "ERICA",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1181849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1181849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.