Active NPI
Brent Fuller, DPT
- Physical Therapist
- Ramsey, MN
National Provider Identifier
1902335979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7231 Sunwood Dr NW
Ramsey, MN 55303-5190 - Phone
- (763) 236-0000
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
7231 Sunwood Dr NW
Ramsey, MN 55303-5190
Mailing address
17740 Layton Path
Lakeville, MN 55044-5214
Phone (651) 955-1424
Other practice location 1
800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1902335979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17740 LAYTON PATH",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550445214",
"telephone_number": "651-955-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7231 SUNWOOD DR NW",
"city": "RAMSEY",
"state": "MN",
"postal_code": "553035190",
"telephone_number": "763-236-0000"
}
],
"practiceLocations": [
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "BRENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.