Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS R FULCO, DPT
Active Sole ProprietorDR. NICHOLAS R FULCO, DPT is a Physical Therapy Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1760006803 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1760006803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2020 (6.1751863408096 yrs)
- Last Updated
- Aug 20, 2025
- License
-
10556 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
502 ANDERSON AVESHREVEPORT, LA, 711043602Browse LA providers · Browse ZIP 71104
- Phone
- 3182000386
- Fax
- 8668254104
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MARTIN S YOUNG | L.P.T. | 1407854367 |
| MR. LARRY NELS LARSEN | P.T., A.T.C., S.T.S. | 1497740088 |
| TERRY L EBERHARDT | PT | 1558358101 |
| LINDSAY TURNER CARADONNA | PT | 1265408868 |
| MR. JASON RILEY | MPT, ATC, LAT, CKTP | 1861444200 |
| DR. GREGORY JAMES REDMOND | DPT | 1407894355 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.