Sean Fulton, PTA

Individual provider Active NPI Physical Therapy Assistant · Pittsburgh, PA

NPI 1750893418 · NPPES record last updated Nov 2, 2017

Key facts

NPI
1750893418
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE011569 (PA)
Practice address
1339 Freeport Rd
Pittsburgh, PA 15238-3126
Phone
(412) 967-9229
Fax
(412) 967-9910
NPI assigned
Nov 2, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TE011569PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chapel Physical Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE011569 PA Yes

Addresses

Primary practice location

1339 Freeport Rd
Pittsburgh, PA 15238-3126

Mailing address

718 Evans St
Jeannette, PA 15644-1407
Phone (412) 610-0754

Other providers in Pittsburgh, PA

All providers in Pittsburgh, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.