Louis Jacob Fullenkamp, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016995 Issued in OH

Practice address

2010 Miamisburg Centerville Rd
Dayton, OH 45459-3847

Phone

(937) 291-3160

NPI assigned

Jun 7, 2017

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physiotherapy Associates Inc

  • Physical Therapist
  • Beavercreek, OH
  • NPI 1952348419
  Medicare reassignment Care Compare group NPD
• Professional Therapeutic Services, Inc.

  • Physical Therapy Clinic/Center
  • Piqua, OH
  • NPI 1023686979

  Physical Therapist

  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapist
  • Dayton, OH
  • NPI 1841229614
  NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Troy, OH
  • NPI 1124063656

  Physical Therapist

  NPD
• Professional Therapeutic Services Inc

  • Physical Therapy Clinic/Center
  • Huber Heights, OH
  • NPI 1174529358
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1780113464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MCDANIELS LN",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668550",
            "telephone_number": "419-953-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593847",
            "telephone_number": "937-291-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLENKAMP",
        "first_name": "LOUIS",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall M Fulchiero, M.D.
• Henry Fulford
• Denita Fullam, PTA
• Bret Fullenkamp, D.M.D.
• Claire Fullenkamp, PA-C
• Roy A Fullenkamp, PCC
• Fuller Rehabilitation and Consulting Services Inc.
• Elizabeth Fuller
• Roni Fuller
• Tanara Sharay Fuller, LPN

• Physical Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.