MRS. KELLY FULP (P.T.) – Physical Therapist, NPI 1023044302

MRS. KELLY FULP (P.T.) is a healthcare provider. based in Aberdeen, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 17390 (MD). The NPI Number for MRS. KELLY FULP (P.T.) is 1023044302

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY FULP (P.T.)
NPI
1023044302
Phone
Not provided
Address
352 AMBLESIDE LN
Enumeration Date
25 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4109392262
Graduation Year
1992 (34 years ago)
PAC ID
9638350671
Group Practice PAC ID
9335155860
Professional Enrollment ID
I20110223000709
Address ID
MD210783610HA807XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

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Provider Addresses for MRS. KELLY FULP (P.T.)

  • 352 AMBLESIDE LN

    ABERDEEN, MD 210011849

    Phone:

    Type: Mailing

  • 701, Revolution Street, Havre de Grace, Harford County, Maryland, 21078, United States

    HAVRE DE GRACE, MD 210783321

    Phone: (410) 939-4334

    Type: Location

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: 2011-02-23

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
I20110223000709IPhysical Therapist In Private PracticeMDTBD

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 minutes1,749123$0
97140Therapy procedure using manual technique, each 15 minutes99592$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35739$0
97530Therapy procedure using functional activities30754$0
97035Application of ultrasound, each 15 minutes21339$0
View full utilization report →

Insurance plans in this area (ZIP 21001)

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Provider's Procedures

MRS. KELLY FULP (P.T.) 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 THERAPYMD97001Physical therapy evaluation10189

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: 9335155860View full group profile
NameSpecialtyState
-MD
Occupational Therapist In Private PracticeMD
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
-MD
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

What federal number belongs to MRS. KELLY FULP (P.T.)?
The federal identifier for MRS. KELLY FULP (P.T.) is NPI 1023044302.
Is MRS. KELLY FULP (P.T.) currently active in the NPI registry?
CMS-published data lists MRS. KELLY FULP (P.T.) as an active registrant.
What kind of provider is MRS. KELLY FULP (P.T.)?
The page reflects Physical Therapist for MRS. KELLY FULP (P.T.). Clinical services aligned with this taxonomy classification.
What location shows for MRS. KELLY FULP (P.T.)?
We surface Aberdeen, Maryland for MRS. KELLY FULP (P.T.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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