LARRY D FULLMER (NPI# 1821075912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821075912 |
| Entity Type | Individual |
| Full Name | LARRY D FULLMER |
| Practice Address |
9720 S 1300 E #w200 Sandy UT 84094-3712 |
| Practice Telephone | 8015720690 |
| Mailing Telephone | 8015720690 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 114098-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9720 S 1300 E #W200 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329091 | David R Boettger Md PC | Pediatrics | 9720 S 1300 E, Sandy, UT 84094-3712 | 2016-11-18 |
| 1124470133 | Katherine Heller | Nurse Practitioner | 9720 S 1300 E, Suite W-120, Sandy, UT 84094-3712 | 2016-07-01 |
| 1316357197 | Ihc Health Services Inc | Urology | 9720 S 1300 E, Ste E230, Sandy, UT 84094-3771 | 2014-05-02 |
| 1396186847 | Alex Mecham | Physical Therapist | 9720 S 1300 E, #w200, Sandy, UT 84094-3712 | 2013-07-12 |
| 1225479777 | Stephanie Shew | Physical Therapist | 9720 S 1300 E, #w200, Sandy, UT 84094-3712 | 2013-07-12 |
| 1508145111 | Ihc Health Services Inc | Family Medicine | 9720 S 1300 E, Ste E240, Sandy, UT 84094-3795 | 2011-08-12 |
| 1649560269 | Amy E Rapp | Pediatrics | 9720 S 1300 E, Suite 100, Sandy, UT 84094-3712 | 2011-04-15 |
| 1114185634 | Elisabeth A Ferlic | Urology | 9720 S 1300 E, Suite E230, Sandy, UT 84094-3712 | 2008-05-30 |
| 1891997557 | Woodrow Cannon Marriott | Pediatrics | 9720 S 1300 E, Suite E 100, Sandy, UT 84094-3712 | 2007-06-04 |
| 1790816973 | Ihc Health Services Inc | Pediatrics | 9720 S 1300 E, #100, Sandy, UT 84094-3712 | 2007-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
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| 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 |
|---|---|---|---|---|
| 1427659903 | Kenlee Urban | Physical Therapist | 638 E Williamsburg Park Cir, Sandy, UT 84070-0517 | 2020-11-02 |
| 1376193425 | Sandy Sportscare Physical Therapy LLC | Physical Therapist | 16621 Champion Way Ste 100, Sandy, OR 97055-7258 | 2019-09-19 |
| 1952899924 | Bonnie Williamson | Physical Therapist | 7940 S 1300 E, Sandy, UT 84094-0744 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| 1780085803 | Ginger Leibfrtiz | Physical Therapist | 11957 S Noelle Rd, Sandy, UT 84092-5790 | 2014-09-08 |
| 1750686903 | Pamela Susan Magliocchino | Physical Therapist | 10178 Heytesbury Ln, Sandy, UT 84092-3842 | 2011-01-20 |
| 1003053596 | Todd Chynoweth | Physical Therapist | 850 East 9400 South, Suite 103, Sandy, UT 84094 | 2009-01-21 |
| 1336262716 | Nancy P. Monnie, PC | Physical Therapist | 16621 Champion Way, Suite 100, Sandy, OR 97055-7257 | 2007-04-09 |
| 1942330352 | Gardner Kelly Rehabilitation | Physical Therapist | 9350 S 150 E # 460, Sandy, UT 84070-2702 | 2007-03-06 |
| 1497803746 | Douglas Walter Krahenbuhl | Physical Therapist | 7998 S 1300 E, Sandy, UT 84094-0744 | 2007-01-05 |
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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.