Amy Fulte

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

100543 Issued in MO

Practice address

398 Blue Jay Dr
Liberty, MO 64068-1977

Phone

(816) 407-2315

NPI assigned

Jul 19, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1790208932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683313",
            "telephone_number": "816-407-4555",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BLUE JAY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681977",
            "telephone_number": "816-407-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "100543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Frick
• David S Fritz, OD
• Robert F Frobenius III, D.O.
• Todd D Fullerton, DNP, RN, PMHNP-BC
• Christina Marie Fullinwider, M.S.N., W.H.C.N.P.
• Luz Funk
• Sara A Gabriel, AUD
• Melody Galicia-Rodriguez
• Clifford M Gall, M.D.
• Alice Gamble

• Physical Therapist in Liberty, MO
• Providers in Liberty, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.