David Christopher Fuller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004884 Issued in KY

Practice address

227 S Main St
Beaver Dam, KY 42320-2131

Phone

(270) 274-9221

NPI assigned

Nov 1, 2010

Sex

Male

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 KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuller Physical TherapyGroup PAC ID 6507054889, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fuller Physical Therapy

  • Physical Therapist
  • Beaver Dam, KY
  • NPI 1477857423
  Medicare reassignment Care Compare group NPD Authorized official
• Full Family Care, PLLC

  • Family Medicine Physician
  • Morgantown, KY
  • NPI 1528664117
  NPD Authorized official
• Full Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Morgantown, KY
  • NPI 1477159978
  NPD Authorized official
• The P.T. Place, Inc

  • Physical Therapy Clinic/Center
  • Leitchfield, KY
  • NPI 1306901020

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1831499367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470445",
            "telephone_number": "270-256-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423202131",
            "telephone_number": "270-274-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Figg, PHARMD
• Kendra Fleener, APRN
• Leslie Michelle Frady
• Audrey Frizzell, DPT
• Fuller Physical Therapy
• Fyi Healthcare Clinic, PLLC
• Tamara Rhea Goff, RPH
• Dakota Gowins, OT
• Green River District Health Department
• Donald Kevin Gregory, MD

• Physical Therapist in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.