Organization Active NPI

Fulcrum Physical Therapy LLC

  • Physical Therapist
  • Orange Park, FL
National Provider Identifier
1801790852
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FULCRUM PHYSICAL THERAPY LLC
Practice address
3973 Eagle Landing Pkwy Unit 1
Orange Park, FL 32065-2641
Phone
(201) 354-8154
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hussein Eid, PT, DPT
Title
Owner
Phone
(201) 354-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3973 Eagle Landing Pkwy Unit 1
Orange Park, FL 32065-2641

Mailing address

1281 Autumn Pines Dr
Orange Park, FL 32065-2693
Phone (201) 354-8154

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1801790852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 AUTUMN PINES DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652693",
            "telephone_number": "201-354-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 EAGLE LANDING PKWY UNIT 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652641",
            "telephone_number": "201-354-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "EID",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-354-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.