Active NPI
Erica R. Fulks, P.T.
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1639318850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1181849
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181849 | Other | TX | PT 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1181849 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1477621472
Physical Therapist
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
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.