Ryan Fullington, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2022013468 Issued in MO

Practice address

8500 Maryland Ave Apt 513
Saint Louis, MO 63124-2318

Phone

(262) 364-9221

NPI assigned

Dec 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri Physical Therapy Services of Creve Coeur, LLCGroup PAC ID 0547600207, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Missouri Physical Therapy Services of Creve Coeur, LLC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1316649544
  Medicare reassignment Care Compare group NPD
• Fullington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1881402683

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1821560467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 MARYLAND AVE APT 513",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242318",
            "telephone_number": "262-364-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 MARYLAND AVE APT 513",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242318",
            "telephone_number": "262-364-9221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Weston Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530453758",
            "country_code": "US",
            "telephone_number": "262-364-9221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLINGTON",
        "first_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022013468",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14512-24",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Fuller
• Tamika Fuller
• Tionne Fuller
• Keith Fulling, M.D.
• Fullington Physical Therapy LLC
• Kendra Fullmer
• Rikki Leigh Fulmer, LCSW
• Anye' Lashae Fulsom, RN-BSN
• Nancy Alyce Fulton, LMT
• Julie Marie Fultz, MD

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.