CORY RYAN FULLER (DPT) – Physical Therapist, NPI 1053714337

CORY RYAN FULLER (DPT) is a healthcare provider. based in Oneonta, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH7080 (AL). The NPI Number for CORY RYAN FULLER (DPT) is 1053714337

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CORY RYAN FULLER (DPT)
NPI
1053714337
Phone
(205) 274-0922
Address
410 2ND AVE E
Enumeration Date
1 October 2014
Last Update Date
1 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565430717
Graduation Year
2013 (13 years ago)
PAC ID
8729302690
Group Practice PAC ID
5597195727
Professional Enrollment ID
I20150123001991
Address ID
AL359065804RA3102XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,477 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for CORY RYAN FULLER (DPT)

  • 410 2ND AVE E

    SUITE C

    ONEONTA, AL 351211412

    Phone: (205) 274-0922

    Fax: (205) 274-0924

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150123001991IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes729123$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes725129$0
97140Therapy procedure using manual technique, each 15 minutes584125$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care43087$0
97530Therapy procedure using functional activities11741$0
View full utilization report →

Insurance plans in this area (ZIP 35121)

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Provider's Procedures

CORY RYAN FULLER (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes929202
PHYSICAL THERAPYAL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1094220

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597195727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Occupational Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-PA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS

Reviews

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Frequently asked questions

What number should I use to identify CORY RYAN FULLER (DPT) for billing?
Administrative and clinical systems typically use NPI 1053714337 for CORY RYAN FULLER (DPT).
Should I treat CORY RYAN FULLER (DPT) as an active provider?
Patients and plans typically see CORY RYAN FULLER (DPT) as active in the national extract.
How should patients interpret CORY RYAN FULLER (DPT)'s specialty?
The extract shows Physical Therapist for CORY RYAN FULLER (DPT). Clinical services aligned with this taxonomy classification.
Can patients visit CORY RYAN FULLER (DPT) in Oneonta, Alabama?
For routing, start with Oneonta, Alabama for CORY RYAN FULLER (DPT), then verify phone and hours locally.
Can I export CORY RYAN FULLER (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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