Daniel Robert Fultz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI003615 Issued in PA

Practice address

7776 Sr 655
Suite D
Reedsville, PA 17084

Phone

(717) 667-7607

Fax

(717) 667-7497

NPI assigned

May 21, 2019

Last updated

May 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Meadowview Manor Rehabilitation Services, Inc.

  • Physical Therapist
  • Mount Union, PA
  • NPI 1457329294
  NPD (past)
• Next Level Physical Therapy LLC

  • Physical Therapist
  • Mount Union, PA
  • NPI 1689281909
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1972160448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 CROGHAN PIKE",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170668838",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7776 SR 655",
            "address_2": "SUITE D",
            "city": "REEDSVILLE",
            "state": "PA",
            "postal_code": "17084",
            "telephone_number": "717-667-7607",
            "fax_number": "717-667-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BCC Lewistown Operations, LLC (Elmcroft of Reedsville)
• Ross W Coder
• Ann Victoria Colton, CRNP
• Cole R Dysinger, PHARM.D.
• Eric K Fowler, MD
• Geisinger Clinic
• Geisinger Lewistown Hospital (Geisinger Reedsville)
• Geisinger Pharmacy LLC
• Geisinger Pharmacy, LLC (Geisinger Pharmacy)
• Stephanie Lawson, LCSW

• Physical Therapy Assistant in Reedsville, PA
• Providers in Reedsville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.