DR. ROBERT WAYNE FULLER (NPI# 1568941987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568941987 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WAYNE FULLER |
| Practice Address |
910 Wallace Ave Leitchfield KY 42754-2414 |
| Practice Telephone | 2702599469 |
| Mailing Telephone | 2702599469 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 007408 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1619223039 | Robert Reid Fuller | Social Worker | 35 Warrior Mountain Rd, Tryon, NC 28782-2570 | 2012-08-03 |
| 1386972974 | Robert L Fuller | Dentist | 761 S 1030 E, Orem, UT 84097-6688 | 2009-11-20 |
| 1710909171 | Robert G Fuller | Family Medicine | 1950 Doctors Park Dr, Building 2, Columbus, IN 47203-2219 | 2006-07-24 |
| 1104446335 | Robert Fuller | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2020-04-17 |
| 1407312994 | Robert Fuller | Behavioral Analyst | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2019-02-20 |
| 1730406679 | Robert Dodd Fuller | Dentist | 706 S King St, Suite 5, Leesburg, VA 20175-3918 | 2010-05-03 |
| 1336314764 | Robert Alan Fuller Jr. | Internal Medicine | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2008-04-27 |
| 1356545727 | Robert Edward Fuller | Physical Therapist | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-06-12 |
| 1609998459 | Robert Fulton Fuller | Counselor | 1021 W La Cadena Dr, Riverside, CA 92501-1413 | 2007-04-04 |
| Street Address |
910 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162268 | Joseph C Petrocelli | Surgery | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2005-05-27 |
| 1992306450 | Karen Michelle Manning | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-11-02 |
| 1104454834 | Grayson County Hospital Foundation Inc | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-03-30 |
| 1649743667 | Concord Company of Tennessee Pllc | Physician Assistant | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2019-01-03 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| 1265900955 | Callie J Hancock | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-11-12 |
| 1114442324 | Jared Crocker | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2017-08-08 |
| 1518332691 | Eric Powell | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2015-12-01 |
| 1427434026 | Robert Holland | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754 | 2015-08-05 |
| 1750766077 | Cheri Molloy | Dietitian, Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1912486887 | Jeanette Marie Jacobs | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754 | 2018-08-10 |
| Find all providers in zip 42754 | ||||
| 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 |
|---|---|---|---|---|
| 1457860181 | Sean David Beard | Physical Therapist | 505 William Thomason Byu, Leitchfield, KY 42754-1419 | 2017-09-26 |
| 1720220486 | John Lee Collins | Physical Therapist | 115 Sequoia Dr, Leitchfield, KY 42754-1564 | 2009-03-27 |
| 1184776460 | Angela Dawn Mccray | Physical Therapist | 42 Shelton Dr, Leitchfield, KY 42754-7563 | 2007-01-17 |
| 1780603787 | Mary Vivian Mantooth | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2006-07-19 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1710585351 | Kristin Smith | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2020-10-15 |
| 1689297152 | Mantooth Physical Therapy, LLC | Physical Therapist | 301 W Walnut St, Leitchfield, KY 42754-1256 | 2020-05-19 |
| 1104305499 | Spencer Daniel Fuehne | Physical Therapist | 201 S Main St, Leitchfield, KY 42754-1425 | 2018-08-08 |
| 1669965802 | Pt Pros, Inc. | Physical Therapist | 201 S Main St, Leitchfield, KY 42754-1425 | 2018-06-12 |
| 1972029734 | Brittany Marie Phelps | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2017-08-14 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.