Lance Fulsher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017119 Issued in MI

Practice address

409 W Main St
Kingsley, MI 49649-9481

Phone

(231) 263-1001

Fax

(231) 263-1002

NPI assigned

Mar 17, 2015

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kingsley Physical Therapy PLLCGroup PAC ID 2264443530, 4 clinicians

Pursuit Physical TherapyGroup PAC ID 9436560778, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kingsley Physical Therapy, P.L.L.C.

  • Physical Therapy Clinic/Center
  • Kingsley, MI
  • NPI 1871549857

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pursuit Physical Therapy

  • Physical Therapist
  • Kalkaska, MI
  • NPI 1750997631
  Medicare reassignment Care Compare group NPD
• Joseph Advanced Facial Plastic Surgery, PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Troy, MI
  • NPI 1154082428
  NPD

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1740673680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499481",
            "telephone_number": "231-263-1001",
            "fax_number": "231-263-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499481",
            "telephone_number": "231-263-1001",
            "fax_number": "231-263-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULSHER",
        "first_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cox
• Crystal Lake Clinic, P.C.
• Cheryl Sue Dann, MSW
• Anna Marie Davidson
• Erica Dense, DPT
• Maitland Leigh Garey
• Jenna Genereaux, LMSW
• Grace Abound LLC
• Grand Traverse County Health Department
• Regina Gray, DR

• Physical Therapist in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.