| Aaron Fullerton, DPT | |
|
16819 Torrence Ave, Lansing, IL 60438-6019 | |
| (708) 394-5215 | |
| (708) 474-3853 |
| Full Name | Aaron Fullerton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 16819 Torrence Ave, Lansing, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568180149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1366872 (Texas) | Secondary |
| 225100000X | Physical Therapist | 070026931 (Illinois) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Fullerton, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Aaron Fullerton, DPT 16819 Torrence Ave, Lansing, IL 60438-6019 Ph: (708) 394-5215 |
Stephanie E Washington, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 | |
Elizabeth Ann Wagner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 Fax: 708-474-3853 | |
Mr. David John O'connell, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 Fax: 708-474-3853 | |
Damilola Olatunbosun, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 Fax: 708-474-3853 | |
Barbara A Danks, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 | |
Mr. Michael Timothy Fitzgerald, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 | |
Justin Wilhoit, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave Unit 300, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 |