NICOLE M. FULLAWAY (DPT) – Orthopedic Physical Therapist, NPI 1235442690
Orthopedic Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ
Provider Addresses for NICOLE M. FULLAWAY (DPT)
41 ADAMSTON DR
BRICK, NJ 087238004
Phone:
Type: Mailing
1104 ARNOLD AVE
POINT PLEASANT BORO, NJ 087422311
Phone: (732) 714-0070
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.
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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: 2010-12-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101208000989 | I | Physical Therapist In Private Practice | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 854 | 50 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 548 | 48 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 250 | 22 | $0 |
| 29520 | Placement of strapping to hip | 83 | 16 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 08723)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | NJ | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 868 | 85 |
| PHYSICAL THERAPY | NJ | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 727 | 84 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NJ | |
| C H I R O P R A C T I C | NJ | |
| Physical Medicine And Rehabilitation, Pain Management | NJ | |
| Physical Medicine And Rehabilitation, Sports Medicine | NJ | |
| C H I R O P R A C T I C | NJ | |
| Physical Medicine And Rehabilitation | NJ | |
| Physical Medicine And Rehabilitation | NJ | |
| Occupational Therapist In Private Practice | NJ | |
| - | NJ | |
| C H I R O P R A C T I C | NJ |
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