Sydney Fullerton
NPI 1205661097ActiveIndividual· Physical Therapist· Davis, OK
Physical Therapist with Ptms 3.0 LLC, practicing in Davis, Oklahoma. Medicare paid $21,231 for services to 58 patients in 2024.
Overview
| NPI | 1205661097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 3, 2024 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6614 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 1,143 across 9 procedure codes |
| Paid by Medicare | $21,231 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ptms 3.0 LLCEdmond, OK · 119 clinicians
Other Physical Therapist providers in Davis
- 1750671079
- 1134478233
- 1225643844
- 1730606062
- 1295837136
- 1316614860
- 1093854226
- 1568530277