MR. TIMOTHY MICHAEL FULLMER MSPT
NPI 1104989268
Physical Therapist in Waverly, NY
NPI Status: Active since December 19, 2006
- Individual
- Male
- Physical Therapist
About TIMOTHY FULLMER
This page provides the complete NPI Profile along with additional information for Timothy Fullmer, a provider established in Waverly, New York with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1104989268 assigned on December 2006. The practitioner's primary taxonomy code is 225100000X with license number 022693-1 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1104989268
- Provider Name
- MR. TIMOTHY MICHAEL FULLMER MSPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 BROAD ST WAVERLY, NY 14892
- Location Phone
- (607) 687-2495
- Mailing Address
- 150 BROAD ST WAVERLY, NY 14892
- Mailing Phone
- (607) 687-2495
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-19-2006
- Last Update Date
- 03-26-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 022693-1
- License State
- NY
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 022693 (NY) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 8 | 9 | 2 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 8 | 18 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 8 + 1 + 8 + 2 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1104989268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689643561 | DR. THOMAS DANIEL JAGGER MD Individual | Optometrist | 150 BROAD ST WAVERLY, NY 14892 (607) 565-2177 |
| 1457687048 | GUTHRIE CLINIC LTD Organization | Clinic/Center (Multi-Specialty) | 150 BROAD ST WAVERLY, NY 14892 (607) 565-2177 |
| 1164858833 | GUTHRIE SPECIALTY PHYSICIANS, PC Organization | Durable Medical Equipment & Medical Supplies | 150 BROAD ST WAVERLY, NY 14892 (607) 565-2177 |
| 1578755682 | GUTHRIE MEDICAL GROUP, P.C. Organization | Durable Medical Equipment & Medical Supplies | 150 BROAD ST WAVERLY, NY 14892 (607) 565-2177 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104989268, enumerated in the NPI registry as an "individual" on December 19, 2006
The provider is located at 150 Broad St Waverly, Ny 14892 and the phone number is (607) 687-2495
The provider's speciality is Physical Therapist with taxonomy code 225100000X
This NPI record was last updated on December 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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