Chad B. Fullmer, M.P.T.
NPI 1285760033ActiveIndividual· Physical Therapist· Provo, UT
Physical Therapist (M.P.T.) with Independence Rehab LLC, practicing in Provo, Utah. Medicare paid $87,446 for services to 85 patients in 2024.
Overview
| NPI | 1285760033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.P.T. |
| Sole proprietor | No |
| NPI issued | Feb 26, 2007 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4877705-2401 | UT |
| Physical Therapist | 225100000X | PT00010369 | WA |
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 Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 4,285 across 10 procedure codes |
| Paid by Medicare | $87,446 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Independence Rehab LLCOro Valley, AZ · 24 clinicians
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