Timothy Fullmer, MSPT
NPI 1104989268 · Physical Therapist · Waverly, NY
Timothy Fullmer, MSPT is a Physical Therapist provider in Waverly, NY (NPI 1104989268).
Provider details
- NPI number
- 1104989268
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 022693 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2021-03-26
- Certified
- 2021-03-25
Frequently asked questions
- What is Timothy Fullmer's NPI number?
- Timothy Fullmer's National Provider Identifier (NPI) is 1104989268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Fullmer's specialty?
- Timothy Fullmer is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Timothy Fullmer located?
- Timothy Fullmer's practice location on file with NPPES is 150 Broad St, Waverly, NY 14892-1361.
- What is Timothy Fullmer's phone number?
- The practice phone number listed in the NPPES registry for Timothy Fullmer is (607) 687-2495.
- Is Timothy Fullmer's NPI active?
- Yes — Timothy Fullmer's NPI (1104989268) is active in the NPPES registry as of the last update on 2021-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.