Jeana Elizabeth Fulenwider, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1133601 Issued in TX

Practice address

10300 N Central Expy Ste 171
Dallas, TX 75231-8637

Phone

(214) 884-9695

Fax

(877) 884-4589

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Quality Physical Medicine & Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1285657270
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1912023110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY # 109-122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312213",
            "telephone_number": "214-884-9695",
            "fax_number": "877-884-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 171",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318637",
            "telephone_number": "214-884-9695",
            "fax_number": "877-884-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULENWIDER",
        "first_name": "JEANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1133601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anat Fuksman
• Fulbright & Associates PC
• Jody Lee Fulbright, L.P.C.
• Richard L Fulbright, PH.D.
• Grace Anne Fulcher, M.S., CCC-SLP
• Stephanie Fulgencio, LMFT
• Angela K Fulgham-Gardner, MD
• Pat Fox Fulgham, M.D.
• Dawn Maria Fulghum, LPTA
• Full Circle Counseling and Family Services, PLLC

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.