Grace Caroline Fulton, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0007216 Issued in CO

Practice address

2776 Janitell Rd
Colorado Springs, CO 80906-4103

Phone

(719) 332-4689

NPI assigned

Sep 22, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1831812031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064103",
            "telephone_number": "719-332-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064103",
            "telephone_number": "719-332-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6985 Tutt Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233588",
            "country_code": "US",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "GRACE",
        "middle_name": "CAROLINE",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Fuller, CGC
• Seth Fuller
• Nicole Renee Fullerton, MSW, CSW
• Lauren Fullwood
• Emily C Fulton, OTR/L
• Jenna Fulton, MS, LPCC
• Tammy Michelle Fulton, BS, RDH
• Elizabeth R Funk, OTD, OTR/L
• Jacob Funk, D.C.
• Ayron Funny

• All providers in Colorado Springs, CO
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.