Active NPI
James Fulmer, P.T.
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1982023206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41267
- Practice address
- 427 Wilshire Blvd
Santa Monica, CA 90401-1409 - Phone
- (310) 656-8600
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41267 | CA | Primary |
Addresses
Primary practice location
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Mailing address
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone (310) 656-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41267 | CA | MD | Licensed Psychiatric Technician |
| PT41267 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1982023206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011409",
"telephone_number": "310-656-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011409",
"telephone_number": "310-656-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "JAMES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT41267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.