Michael Jay Fuller

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MICHAEL JAY FULLER

Practice address

149C Logan CT
Angier, NC 27501-8579

Phone

(919) 331-1189

Fax

(919) 331-2425

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Jay Fuller

Title

Business Owner

Phone

(919) 331-1189

Specialties & licenses 1

Addresses

Other names 1

• Angier Physical Therapy Doing business as

Locations

Practitioners 1

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

• Wendy L Stokes, PT

  • Physical Therapist
  • Lillington, NC
  • NPI 1962460626
  NPD (past)

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1669776266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149C LOGAN CT",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018579",
            "telephone_number": "919-331-1189",
            "fax_number": "919-331-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149C LOGAN CT",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018579",
            "telephone_number": "919-331-1189",
            "fax_number": "919-331-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JAY FULLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "919-331-1189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atosha Montrice McLean, LCMHCA
• Kelly McRae, RPH
• Meena Thapa Magar DMD PLLC
• Lauren Mezzanotte
• James Stanley Miazga Jr., LCMHC
• Monarch
• Paul Montagna, DDS
• Benjamin Ross Moore, D.D.S.
• Takira Nicole Morrison, PHARMD
• Move Chiropractic, PLLC

• Physical Therapy Clinic/Center in Angier, NC
• Providers in Angier, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.