JORDAN FULTZ (NPI# 1497127997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497127997 |
| Entity Type | Individual |
| Full Name | JORDAN FULTZ |
| Credential | PT |
| Practice Address |
4138 19th St Lubbock TX 79407-2403 |
| Mailing Address |
2431 S Loop 289 Lubbock TX 79423-1519 |
| Practice Telephone | 8067802329 |
| Mailing Telephone | 8067718008 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 319937 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 280453601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427591452 | Jordan Elisabeth Fultz | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-11-22 |
| Street Address |
4138 19TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648772 | Physical Therapy Today of Lubbock Lp | Occupational Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2005-06-13 |
| 1063023083 | Brooke Wheeler | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2020-08-13 |
| 1518513068 | Landon Harris Nauert | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2019-08-12 |
| 1063960417 | Jonathan Lee Vorndran | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2016-09-14 |
| 1366890246 | Brittany Ghergherehchi | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2016-06-01 |
| 1013383108 | Jennifer Mounce | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2015-08-12 |
| 1265817035 | Jordan Payne Hellums | Physical Therapy Assistant | 4138 19th St, Lubbock, TX 79407-2403 | 2015-07-22 |
| 1932581709 | Melissa Boyken | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2015-06-29 |
| 1417389040 | Kori Anthony | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2013-08-06 |
| 1205183779 | Aubrey Edwards | Physical Therapist | 4138 19th St, Lubbock, TX 79407-2403 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1164930467 | Christy Sue Robinett | Physical Therapist | 7412 82nd St Ste B, Lubbock, TX 79424-4964 | 2018-01-20 |
| 1760924666 | Melannie Rose Santiago Garces | Physical Therapist | 4602 54th St Apt 150, Lubbock, TX 79414-3813 | 2016-11-08 |
| 1952757577 | Emma Soria-lumongsud | Physical Therapist | 5414 69th St, Lubbock, TX 79424-1511 | 2016-05-12 |
| 1295130565 | Alyssa Topper | Physical Therapist | 2103 76th St, Lubbock, TX 79423-1529 | 2014-10-29 |
| 1295141158 | Jeffrey Dela Cruz | Physical Therapist | 4802 Fordham St, Lubbock, TX 79416-1200 | 2014-07-10 |
| 1790102226 | Brian Archie Moore | Physical Therapist | 4413 61st St, Lubbock, TX 79414-4520 | 2014-03-21 |
| 1306279948 | Jeffrey Alvern Goff | Physical Therapist | 7307 University Ave, Lubbock, TX 79423-1422 | 2013-08-19 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.