Courtney Fullenkamp, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015014 Issued in OH

Practice address

159 W Main St
Newark, OH 43055-5007

Phone

(740) 345-2837

Fax

(740) 345-4793

NPI assigned

Aug 2, 2014

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

Enrolled in OH, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

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 and National Provider Directory roles.

• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  OH

  Medicare reassignment Care Compare group NPD
• Missouri Luna Care Physical Therapy LLC

  • Physical Therapist
  • Clayton, MO
  • NPI 1780265934
  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Licking Rehabilitation Services, Inc

  • Occupational Therapist
  • Heath, OH
  • NPI 1396104626
  NPD (past)
• Rehabilitative Associates Inc

  • Occupational Therapist
  • Pickerington, OH
  • NPI 1770672099

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1821407974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 LAMBS LN",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559779",
            "telephone_number": "740-763-0408",
            "fax_number": "740-763-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555007",
            "telephone_number": "740-345-2837",
            "fax_number": "740-345-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLENKAMP",
        "first_name": "COURTNEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Newark, LLC
• Joshua Frick
• Dale Friel, LICDC-CS
• Jonathan Richard Frost, RN
• Tamara Frye, LISW
• Matthew David Fuller, PHARMD
• Merlane C Fuller, LISW
• Ashley Fullmer
• Taryn Fullom
• Brin Fulton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; 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.