James A Fullerton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A010487 Issued in FL

Practice address

108 N Adams St
Quincy, FL 32351-2404

Phone

(229) 985-2080

Fax

(229) 890-3397

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
  • NPI 1588620355
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891999876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ADAMS ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512404",
            "telephone_number": "850-875-0333",
            "fax_number": "850-875-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N ADAMS ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512404",
            "telephone_number": "229-985-2080",
            "fax_number": "229-890-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "A010487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camry S Floyd
• Nikitah Tankoh Fonbah
• Lonnie Ford III, DC, CCPA
• Caron A Forehand, OWNER
• Fresh Start Health Care Services,Inc
• Taylor C Fultineer
• Keisey Fumero
• Gadsden Community Hospital
• Gadsden County Head Start Program
• Gadsden County Health Department

• Physical Therapy Assistant in Quincy, FL
• Providers in Quincy, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.