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ANDREA FULLER PT DPT SCS NPI 1881685543


NPI Information

NPI: 1881685543
Provider Name: ANDREA FULLER, PT, DPT, SCS
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
3851 ROGER BROOKE DR
MCHE-QD/CREDENTIALS
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-2460
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Andrea Fuller, PT, DPT, SCS is a sports physical therapist in Fort Sam Houston, TX. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Andrea Fuller, PT, DPT, SCS NPI is 1881685543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3851 ROGER BROOKE DR
MCHE-QD/CREDENTIALS
FORT SAM HOUSTON, TX
ZIP 78234-501
Phone: (210) 916-2460

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSports05007204AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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