Jaimie Fulks

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

225 1St Ave NE
Osseo, MN 55369-1201

Phone

(763) 424-0534

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649484999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 HASTINGS CIR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 1ST AVE NE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691201",
            "telephone_number": "763-424-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKS",
        "first_name": "JAIMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Englund, D.D.S.
• Rachel Jeanne Farley, CMT
• For Your Eyes Only
• Amanda Marie Foss
• Foundations of Wellness, Counseling L.L.C
• Amanda Funiciello, DC
• Isabella Girtz, ICPD
• Golden Hour Home Healthcare L.L.C.
• Heidi L Haines
• Hayley Hall

• Physical Therapy Assistant in Osseo, MN
• Providers in Osseo, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.