Sophia A Fuller, PT, DPT, CMTPT, CCRP in Foley, AL - Medicare Physical Therapist Provider

Sophia A Fuller, PT, DPT, CMTPT, CCRP is a medicare enrolled "Physical Therapist" provider in Foley, Alabama. Her current practice location is 1506 N Mckenzie St Ste 109, Foley, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 923-5590.

Sophia A Fuller is licensed to practice in Alabama (license number PTH10386) 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 1366933541.

Contact Information

	Sophia A Fuller, PT, DPT, CMTPT, CCRP
	1506 N Mckenzie St Ste 109, Foley, AL 36535-2264
	(251) 923-5590
	(251) 923-5592

Map and Direction

Healthcare Provider's Profile

Full Name	Sophia A Fuller
Gender	Female
Speciality	Physical Therapist
Location	1506 N Mckenzie St Ste 109, Foley, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366933541
Provider Enumeration Date: 05/23/2018
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 5294081683
Enrollment ID: I20180627000520

Medical Identifiers

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

Identifier	Type	State	Issuer
1366933541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH10386 (Alabama)	Primary
225100000X	Physical Therapist	2305211993 (Virginia)	Secondary

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. Sophia A Fuller allows following entities to bill medicare on her behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

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. Sophia A 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
Sophia A Fuller, PT, DPT, CMTPT, CCRP 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Sophia A Fuller, PT, DPT, CMTPT, CCRP 1506 N Mckenzie St Ste 109, Foley, AL 36535-2264 Ph: (251) 923-5590

Reviews and Comments

Physical Therapist in Foley, AL

Tina M Bledsoe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St, Foley, AL 36535 Phone: 877-240-1775 Fax: 251-929-4741
Performance Rehab Associates Physical Therapist Medicare: Medicare Enrolled Practice Location: 780 W Laurel Ave, Foley, AL 36535 Phone: 251-970-3839 Fax: 251-970-3840
Benchmark Physical Therapy Of Alabama, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1506 N Mckenzie St Ste 109, Foley, AL 36535 Phone: 251-923-5590 Fax: 251-923-5592
Mrs. Elizabeth Polovich Gilreath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Elecia Ln, Foley, AL 36535 Phone: 251-971-1436
Anna Fulton Barnes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1117b N Mckenzie St, Foley, AL 36535 Phone: 251-215-4900 Fax: 251-218-2498
Leah Collins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1506 N Mckenzie St Ste 400, Foley, AL 36535 Phone: 251-923-5590 Fax: 251-923-5592
Lauren Emily Bowling, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1506 N Mckenzie St Ste 109, Foley, AL 36535 Phone: 251-923-5590 Fax: 251-923-5592

Sophia A Fuller, PT, DPT, CMTPT, CCRP - Medicare Physical Therapist in Foley, AL