DR. LOUIS JACOB FULLENKAMP (PT, DPT) – Physical Therapist, NPI 1780113464
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH
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Provider Addresses for DR. LOUIS JACOB FULLENKAMP (PT, DPT)
1211 FAR HILLS AVE APT 207
OAKWOOD, OH 454193121
Phone: (419) 953-5920
Type: Mailing
Old Troy Pike, Huber Heights, Montgomery County, Ohio, 45424, United States
HUBER HEIGHTS, OH 454241030
Phone: (937) 235-0068
Type: Location
152 MCDANIELS LN
SPRINGBORO, OH 450668550
Phone: (419) 953-5920
Type: Mailing
2010 MIAMISBURG CENTERVILLE RD
DAYTON, OH 454593847
Phone: (937) 291-3160
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: 2018-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180719001867 | I | Physical Therapist In Private Practice | OH | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 551 | 69 | $0 |
| 97530 | Therapy procedure using functional activities | 294 | 68 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 225 | 65 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 66 | 33 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 47 | 29 | $0 |
Insurance plans in this area (ZIP 45419)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Internal Medicine | MA | |
| Family Practice | MN | |
| Family Practice | GA | |
| - | CA | |
| Pain Management | GA | |
| Internal Medicine | MA | |
| - | OH | |
| Internal Medicine | MA | |
| Orthopedic Surgery | FL |
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