Fulco and Hall Performance and Therapy LLC
NPI 1114790177ActiveOrganization· Physical Therapist· Broussard, LA
Physical Therapist in Broussard, Louisiana, registered in NPPES in November 2023. The authorized official on file is Nicholas R. Fulco, PT, DPT, CERT. DN, Owner, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1114790177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2023 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (LA) |
|---|
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