Bill Joe Fullen II, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017529 Issued in OH

Practice address

2405 N Columbus St Ste 120
Lancaster, OH 43130-8189

Phone

(740) 687-3346

Fax

(740) 689-9736

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Billy Joe Fullen II Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bill.fullen.p1@direct.beaconortho.nextgenshare.com

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.

• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Grove City, OH
  • NPI 1770060212
  Medicare reassignment Care Compare group
• River Valley Orthopaedics & Sports Medicine, Inc.

  dba Ohio Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Lancaster, OH
  • NPI 1669450961
  Medicare reassignment NPD
• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Columbus, OH
  • NPI 1073090510
  NPD
• Ohrh, LLC

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chillicothe, OH
  • NPI 1265140917

  Physical Therapist

  NPD
• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physical Therapist

  NPD (past)
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1912492422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 120",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308189",
            "telephone_number": "740-687-3346",
            "fax_number": "740-689-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 120",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308189",
            "telephone_number": "740-687-3346",
            "fax_number": "740-689-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042687",
            "country_code": "US",
            "telephone_number": "937-523-1059",
            "fax_number": "937-523-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLEN",
        "first_name": "BILL",
        "middle_name": "JOE",
        "name_suffix": "II",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296443",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT017529",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "FULLEN",
            "middle_name": "JOE",
            "suffix": "II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Friendly Care
• Olivia Rayne Friesner
• James D Frilling, DDS
• Sarah Lynne Froman, MD
• Mica Deshaun Fryar
• Corey Fuller
• Matthew John Fullerton, STNA
• Anna Funderburk
• Funding Advisors Claims Recovery LLC
• Matthew Fyie, MD

• Physical Therapist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.