Niah Yvette Fulford, PT, DPT
NPI 1417071564ActiveIndividual· Physical Therapist· Ellenwood, GA
Physical Therapist (PT, DPT) in Ellenwood, Georgia, licensed in GA, IN and VA, with an NPI issued in March 2007. Medicare paid $7,071 for services to 28 patients in 2024.
Overview
| NPI | 1417071564 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Mar 16, 2007 |
| Last updated in NPPES | Jun 14, 2021 |
| Certified by provider | Jun 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT015191 | GA |
| Physical Therapist | 225100000X | 050120183A | IN |
| Physical Therapist | 225100000X | 2305204685 | VA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 374 across 8 procedure codes |
| Paid by Medicare | $7,071 |
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All 18 physical therapists in Ellenwood · All physical therapists in Georgia