Travis James Fulton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2051270 Issued in TX

Practice address

117 Running Bear Trail
Decatur, TX 76234

Phone

(940) 641-1183

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Stay Strong Solution, LLC

  • Physical Therapy Clinic/Center
  • Decatur, TX
  • NPI 1295922193
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1649467200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BRAVE EAGLE TRL",
            "address_2": "PO BOX 1611",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762349567",
            "telephone_number": "940-641-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RUNNING BEAR TRAIL",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-641-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2051270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Flannagan, EMT ADVANCED
• Melissa Franklin, PNP
• Edward Henry Fries, O.D.
• Misty Ann Fry, MSN, APRN, FNP-C
• Mary Elizabeth Fuller, FNP-C
• Future Mobility Systems of Texas , Inc.
• Mary Louise Gardner, FNP
• Guy Gregory Garrett, M.D.
• Gregory Cecil Gibbons, LCSW
• Gilbert Berdine MD

• Physical Therapy Assistant in Decatur, TX
• Providers in Decatur, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.