Dustin C. Fullaway, PT
NPI 1346553807ActiveIndividual· Physical Therapist· Spring Lake, NJ
Physical Therapist (PT) with Spine and Sports Medicine of Tinton Falls, LLC, practicing in Spring Lake, New Jersey. Medicare paid $137,821 for services to 103 patients in 2024.
Overview
| NPI | 1346553807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jul 26, 2010 |
| Last updated in NPPES | Jul 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01355900 | NJ |
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 (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 6,702 across 12 procedure codes |
| Paid by Medicare | $137,821 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Spine and Sports Medicine of Tinton Falls, LLCTinton Falls, NJ · 7 clinicians
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