Melissa Fuller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2281 Issued in AR

Practice address

5230 Willow Creek Dr
Ste. 101
Springdale, AR 72762-0876

Phone

(479) 866-9410

NPI assigned

Jun 24, 2014

Last updated

Jun 24, 2014By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Fusion Therapy Center, LLC

  • Speech-Language Pathologist
  • Bentonville, AR
  • NPI 1801552435
  NPD

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1932514361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PEAK ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727187108",
            "telephone_number": "479-790-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 WILLOW CREEK DR",
            "address_2": "STE. 101",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620876",
            "telephone_number": "479-866-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik C Friedly, APRN
• Sarah Lee Fries
• Ashley Frihart, COTA
• Elizabeth Froman, MD
• Eli Jacob Fulfer
• Kimberly Funk
• David Wayne Furr, D.O.
• Anna Elizabeth Claire Futral, MS, OTR/L
• Erin Futrell
• Anil V Gajare, MD

• Physical Therapy Assistant in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.