JEFFREY ROBERT FULFORD (MPT) – Physical Therapist, NPI 1598761298

JEFFREY ROBERT FULFORD (MPT) is a healthcare provider. based in Longmont, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PTL.0011208 (CO). The NPI Number for JEFFREY ROBERT FULFORD (MPT) is 1598761298

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY ROBERT FULFORD (MPT)
NPI
1598761298
Phone
(720) 718-5400
Address
1760 E KEN PRATT BLVD STE 405
Enumeration Date
27 June 2005
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207185400
Graduation Year
2000 (26 years ago)
PAC ID
4688702111
Group Practice PAC ID
5395024905
Professional Enrollment ID
I20200429001916
Address ID
CO805045311LO1760XBLVD509
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for JEFFREY ROBERT FULFORD (MPT)

  • 1760 E KEN PRATT BLVD STE 405

    LONGMONT, CO 805045311

    Phone: (720) 718-5400

    Fax: (720) 718-8991

    Type: Mailing

  • Boulder Medical Center, 80, Health Park Drive, Louisville, Boulder County, Colorado, 80027, United States

    SUITE 230

    LOUISVILLE, CO 800279584

    Phone: (303) 665-2603

    Fax: (303) 665-2605

    Type: Mailing

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: 2020-04-29

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
I20200429001916IPhysical Therapist In Private PracticeCOTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes84772$0
97140Therapy procedure using manual technique, each 15 minutes41947$0
97161Evaluation for physical therapy, typically 20 minutes6460$0
View full utilization report →

Insurance plans in this area (ZIP 80504)

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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: 5395024905View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Occupational Therapist In Private PracticeCO
Occupational Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Can I verify JEFFREY ROBERT FULFORD (MPT) with an NPI only?
You can start verification with NPI 1598761298 for JEFFREY ROBERT FULFORD (MPT), then check state licensing separately.
Does the file indicate JEFFREY ROBERT FULFORD (MPT) is practicing under active NPI?
Directory data currently reports JEFFREY ROBERT FULFORD (MPT) as active.
What is JEFFREY ROBERT FULFORD (MPT)'s specialty?
The listing groups JEFFREY ROBERT FULFORD (MPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does JEFFREY ROBERT FULFORD (MPT) serve?
JEFFREY ROBERT FULFORD (MPT)'s listing highlights Longmont, Colorado; more addresses can appear in NPPES.
Is the information about JEFFREY ROBERT FULFORD (MPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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