Donna M Fullagar Owens, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

012155-1 Issued in NY

Practice address

750 E Adams St
Suite 2104
Syracuse, NY 13210-2342

Phone

(315) 464-2300

Fax

(315) 464-2305

NPI assigned

Jul 24, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1871758276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "SUITE 2104",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-2300",
            "fax_number": "315-464-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "SUITE 2104",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-2300",
            "fax_number": "315-464-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLAGAR OWENS",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "012155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Frye
• Giovannie H Fua, P.T.
• Allyson Fuchs
• Amanda Pat Fuleihan
• Daniel S Fuleihan, MD FACC
• Christopher J Fullagar, MD
• Bridget R Fuller, LCSW
• Dale W Fuller, LCSW
• Haley Fuller, CNM
• Jennifer Fuller, LMHC

• Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.