LISA LYNN FULLER (NPI# 1114092178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114092178 |
| Entity Type | Individual |
| Full Name | LISA LYNN FULLER |
| Credential | MPT |
| Practice Address |
396 Elementary Dr Fayetteville NC 28301-6267 |
| Mailing Address |
55 Queens Court Angier NC 27501 |
| Practice Telephone | 9106782789 |
| Mailing Telephone | 9196393791 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 6815 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958746 | Lisa Ellen Fuller | Nutritionist | 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 | 2020-10-08 |
| 1801246210 | Lisa Fuller | Registered Nurse | 25 Laurie Ln, Bridgewater, MA 02324-3539 | 2016-06-16 |
| 1942441092 | Lisa Marie Fuller | Occupational Therapist | 9854 S 43rd Pl, Phoenix, AZ 85044-7528 | 2009-03-19 |
| 1093838781 | Lisa Marie Fuller | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560 | 2007-04-09 |
| 1609899947 | Lisa Joy Fuller | Optometrist | 505 Retail Way Ste 118, Louisburg, NC 27549-6480 | 2006-07-26 |
| 1407407372 | Lisa Barry Fuller | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-09-23 |
| 1265927057 | Lisa Ann Fuller | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2018-06-25 |
| 1215430871 | Lisa Fuller | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-03-09 |
| 1760847461 | Lisa Fuller | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2015-12-22 |
| 1932531928 | Lisa Fuller | Nurse Practitioner | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2013-08-01 |
| Street Address |
396 ELEMENTARY DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-6267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689764979 | Julie Mcquillan Aul | Physical Therapist | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2006-10-15 |
| 1063565786 | Stacy Sharpe Brafford | Occupational Therapist | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2007-01-18 |
| 1861542896 | Ann Hawkinson Dempster | Occupational Therapist | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2007-01-11 |
| 1538216734 | Carol N Foster | Physical Therapist | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2007-01-03 |
| 1891858064 | Frances Tyndall Wenrich | Physical Therapy Assistant | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2006-12-19 |
| 1073688347 | Suzanne S Hill | Physical Therapy Assistant | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2006-11-22 |
| 1871670224 | Toni C Berry | Occupational Therapy Assistant | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2006-11-01 |
| 1528144672 | Tammy Johnson Linnen | Occupational Therapist | 396 Elementary Dr, Exceptional Children's Services, Fayetteville, NC 28301-6267 | 2006-10-31 |
| 1457437360 | Stephanie Fann Naylor | Occupational Therapist | 396 Elementary Dr, Fayetteville, NC 28301-6267 | 2006-10-31 |
| 1730263401 | Mary Lee Poole | Occupational Therapy Assistant | 396 Elementary Dr, Ec Services, Fayetteville, NC 28301-6267 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602178 | Ryan Matthew Derby | Physical Therapist | 1191 Fordham Drive, Suite 102, Fayetteville, NC 28304-3774 | 2020-09-03 |
| 1649882705 | P4 Physical Therapy - Fayetteville, LLC | Physical Therapist | 1229 Huntsville Hwy Ste B, Fayetteville, TN 37334-3685 | 2020-08-20 |
| 1295352136 | Jessica Czarnecki | Physical Therapist | 2668 E Citizens Dr Ste 4, Fayetteville, AR 72703-4796 | 2020-06-26 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1245870187 | Patricia Jean Boehlert | Physical Therapist | 4401 Medical Center Dr Ste 401, Fayetteville, NY 13066-6603 | 2020-01-08 |
| 1427691617 | Brandon Merrick | Physical Therapist | 13917 Hickory Trce, Fayetteville, AR 72704-8417 | 2019-10-21 |
| 1841847936 | Abigail Weiskopf | Physical Therapist | 2350 Bentridge Ln Suite 102, Fayetteville, NC 28304-0591 | 2019-08-22 |
| 1932755766 | Jonathan Cole Vaughn | Physical Therapist | 2793 E Millennium Pl Ste 2, Fayetteville, AR 72703-6522 | 2019-08-16 |
| 1205395944 | Sharon Branch | Physical Therapist | 125 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2019-03-12 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on LISA LYNN FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.