Organization Active NPI

Fuller Balance Therapy and Education

  • Physical Therapy Clinic/Center
  • Englewood, CO
National Provider Identifier
1639719388
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FULLER BALANCE THERAPY AND EDUCATION
Practice address
750 W Hampden Ave Ste 425
Englewood, CO 80110-2099
Phone
(720) 647-3456
Fax
(720) 647-3466
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Tonya FullerNPI 1720378425
Title
Ceo
Phone
(720) 647-3456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

750 W Hampden Ave Ste 425
Englewood, CO 80110-2099

Mailing address

750 W Hampden Ave Ste 425
Englewood, CO 80110-2099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402001167 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799114377 Receives reassigned benefits from 4 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

750 W Hampden Ave
Ste 425
Englewood, CO 80110
Phone (303) 777-0303

730 W Hampden Ave
Ste 302
Englewood, CO 80110
Phone (720) 419-2399

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1639719388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 425",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 425",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102099",
            "telephone_number": "720-647-3456",
            "fax_number": "720-647-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER BALANCE THERAPY AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-647-3456"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.