Fultz Physical Therapy and Joint Rehab, LLC
NPI 1912473034ActiveOrganization· Physical Therapist· Shreveport, LA
Physical Therapist in Shreveport, Louisiana, registered in NPPES in October 2018. The authorized official on file is Christopher Fultz, P.T., P.T./Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1912473034 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2018 |
| Last updated in NPPES | Jul 12, 2023 |
| Certified by provider | Jul 12, 2023 |
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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