Steve Fuller
Physical Therapist in Lewiston, ID. Individual provider (NPI-1).
NPI number1942610985
StatusActive
Last updated in NPPESApr 29, 2014
Details
- NPI
- 1942610985
- Entity type
- Individual (NPI-1)
- Name
- Steve Fuller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2014
- Last updated
- Apr 29, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-2424 | ID | Yes |
Practice location
1014 Burrell AveLewiston, ID 83501-5589
Phone 208-743-4558 · Fax 208-746-7657
Mailing address
25117 Sw Parkway Ave Ste DWilsonville, OR 97070-9697
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 40 Physical Therapist providers in Lewiston · All 1,076 providers in Lewiston
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