Rachel Marie Fuller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.029602 Issued in IL

Practice address

5331 N Ludlam Ave
Chicago, IL 60630-1411

Phone

(312) 961-3574

NPI assigned

Apr 27, 2026

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Midwestern University College of Dental Medicine, Downers Grove, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Real PT LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1760860621
  Medicare reassignment

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1861338360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 N LUDLAM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 N LUDLAM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301411",
            "telephone_number": "312-961-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamona Denene Fuller, RN
• Lashonda Fuller, PH.D.
• Lindsay Fuller
• Mary-Bianca Gabrielle Fuller
• Michael Alan Fuller, MD
• Fullerton Dental Island LLC
• Fullerton Drake Medical Center
• Fullerton Family Dentistry, LTD
• Fullerton Kedzie Professional Pharmacy
• Fullerton Kimball Medical & Surgical Center

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.