Mr. Dustin C Fullaway, PT
Physical Therapist in Spring Lake, New Jersey
1346553807- Practice location
- 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566
- Phone
- 732-449-7855
- Fax
- —
- Last updated
- July 26, 2010
Dustin C Fullaway is a Physical Therapist based in Spring Lake, NJ. Dustin C Fullaway practices in Spring Lake, NJ and has the professional credentials of PT. The NPI Number for Dustin C Fullaway is 1346553807 and holds a License No. 40QA01355900 (NJ). The current practice location address for Dustin C Fullaway is 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 and can be reached out via phone at 732-449-7855.
Provider Profile Details
- NPI Number
- 1346553807
- Provider Name
- Dustin C Fullaway
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566
- Phone Number
- 732-449-7855
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 26, 2010
- Last Update Date
- July 26, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1325 Warren Ave
Suite 5
Spring Lake, NJ 07762-2566 - City
- Spring Lake
- State
- New Jersey
- Zip
- 07762-2566
- Phone Number
- 732-449-7855
Provider Business Mailing Address Details
- Address
- 187 Millburn Ave
Ste 110
Millburn, NJ 07041-1847 - City
- Millburn
- State
- NJ
- Zip
- 07041-1847
- Phone Number
- 973-467-7976
- Fax Number
- 973-467-7971
License Information
- License Number
- 40QA01355900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Spring Lake, NJ
View all Physical Therapists in Spring Lake →Frequently Asked Questions
What is the NPI number of Mr. Dustin C Fullaway, PT?
The NPI number of Mr. Dustin C Fullaway, PT is 1346553807. It was assigned on July 26, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Dustin C Fullaway, PT?
Mr. Dustin C Fullaway, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01355900.
Where does Mr. Dustin C Fullaway, PT practice?
The practice location is 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566. The office can be reached at 732-449-7855 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346553807 directly on the NPPES registry website.