Daniel Robert Fultz, PTA
Individual provider Active NPI Physical Therapy Assistant · Reedsville, PA
NPI 1972160448 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1972160448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TEI003615 (PA)
- Practice address
- 7776 Sr 655
Suite D
Reedsville, PA 17084 - Phone
- (717) 667-7607
- Fax
- (717) 667-7497
- NPI assigned
- May 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI003615 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Physical Therapy LLC | Past |
Accepting new patients | |
| Meadowview Manor Rehabilitation Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI003615 | PA | Yes |
Addresses
Primary practice location
7776 Sr 655
Suite D
Reedsville, PA 17084
Mailing address
14330 Croghan Pike
Mount Union, PA 17066-8838
Phone (814) 542-8630
Other providers in Reedsville, PA
- BCC Lewistown Operations, LLC
- Ross W Coder
- Ann Victoria Colton
- Cole R Dysinger
- Eric K Fowler
- Geisinger Clinic
- Geisinger Lewistown Hospital
- Geisinger Pharmacy LLC
- Geisinger Pharmacy, LLC
- Stephanie Lawson
All providers in Reedsville, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.