Jill Fulton, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004721 Issued in OH

Practice address

2718 Willard Ave
Cincinnati, OH 45209-2205

Phone

(513) 259-7686

Fax

(513) 259-7686

NPI assigned

May 24, 2017

Last updated

May 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1811425663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 WILLARD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092205",
            "telephone_number": "513-259-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 WILLARD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092205",
            "telephone_number": "513-259-7686",
            "fax_number": "513-259-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Ann Fuller, P.A.
• Tyler Allen Fuller, D.O.
• Denise Suzanne Fulmer, RN
• Jessica Anne Fulmer, PTA
• Erin Turner Fulton, CRNA
• Madison L Fulton, BSW
• Matthew Fulton
• Melissa A Fulton, CNP
• Patricia Marie Fulton
• Alex Edward Fultz, MD

• Occupational Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.