Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN LOUIS FULLER, PT, DPT, LAT, ATC
ActiveJORDAN LOUIS FULLER, PT, DPT, LAT, ATC is a Physical Therapy Assistant healthcare provider located in WALTHAM, Massachusetts. NPI 1992214803 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WALTHAM, MA
Registration Details
- NPI Number
- 1992214803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2017 (8.8846372771214 yrs)
- Last Updated
- Nov 10, 2022
- Licenses
-
3209 (MA)26548 (MA)
Practice Information
- Address
-
840 WINTER STWALTHAM, MA, 024511433Browse MA providers · Browse ZIP 02451
- Phone
- 7814879944
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WALTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER DOLAN | PT | 1144203506 |
| MERLIN GERST | PT | 1295718658 |
| DOUGLAS FECKO | PT | 1093798456 |
| EDWARD LACERTE | PT | 1043293400 |
| PETER J HENRY | PT | 1770566135 |
| MRS. STEPHANIE NICHOLE HATHERLEY | MSPT | 1306829767 |
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.