Carly Fuller, PT DPT in Reston, VA - Medicare Physical Therapist Provider

Carly Fuller, PT DPT is a medicare enrolled "Physical Therapist" provider in Reston, Virginia. Her current practice location is 1760 Reston Pkwy Ste 403, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 230-1760.

Carly Fuller is licensed to practice in Virginia (license number 2305215948) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063297778.

Contact Information

	Carly Fuller, PT DPT
	1760 Reston Pkwy Ste 403, Reston, VA 20190-3360
	(703) 230-1760
	(702) 230-1761

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Fuller
Gender	Female
Speciality	Physical Therapist
Location	1760 Reston Pkwy Ste 403, Reston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063297778
Provider Enumeration Date: 08/30/2023
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9537514146
Enrollment ID: I20231016003724

Medical Identifiers

Medical identifiers for Carly Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063297778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305215948 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Fuller allows following entities to bill medicare on her behalf.

Provider Name	Bodies In Motion Physical Therapy Ii, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740361641 PECOS PAC ID: 9830296367 Enrollment ID: O20070517000693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly Fuller, PT DPT 1760 Reston Pkwy Ste 403, Reston, VA 20190-3360 Ph: (703) 230-1760	Carly Fuller, PT DPT 1760 Reston Pkwy Ste 403, Reston, VA 20190-3360 Ph: (703) 230-1760

Reviews and Comments

Physical Therapist in Reston, VA

Mrs. Nancy Paula Krall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Cameron Glen Dr, Reston, VA 20190 Phone: 703-834-5950
Gabrielle Pham-che, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Reston, VA 20190 Phone: 703-483-4684
Gemma Leonard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-709-1118
Mr. Hugh William Mcgee Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, 403, Reston, VA 20190 Phone: 703-736-2806 Fax: 703-736-1677
Natalie Colleen Burnett Drummond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Suite 300, Reston, VA 20190 Phone: 703-483-4650 Fax: 703-787-6575
Peak Performance Physical Therapy, Plc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Sunset Hills Rd, Suite A3, Reston, VA 20190 Phone: 703-473-1515 Fax: 703-473-8333

Carly Fuller, PT DPT - Medicare Physical Therapist in Reston, VA