Individual provider Active NPI

Tonya Fuller, MSPT

  • Neurology Physical Therapist
  • Englewood, CO
National Provider Identifier
1720378425
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
1142024 Issued in TX
Practice address
750 W Hampden Ave Ste 425
Englewood, CO 80110-2099
Phone
(567) 826-6880
NPI assigned
Apr 14, 2011
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 1142024 TX 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
I20130216000003 CO Practitioner - Physical Therapist in Private Practice 1254585490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuller Balance Therapy and EducationGroup PAC ID 5799114377, 3 clinicians

Practice addresses (Care Compare)

750 W Hampden Ave
Suite 425
Englewood, CO 80110-2099
Phone (720) 647-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142024TXMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Corporation CurrentSince Jan 27, 2024 Accepting new patients
Fuller Balance Therapy and Education Neurology CurrentSince Jun 9, 2017 Accepting new patients

Locations

730 W Hampden Ave
Ste 302
Englewood, CO 80110
Phone (720) 792-8631

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1720378425",
    "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": "567-826-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TONYA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1142024",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.