ANDREA FULLER (PT, DPT, SCS) – Sports Physical Therapist, NPI 1881685543

Sports Physical Therapist

ANDREA FULLER (PT, DPT, SCS) is a healthcare provider. based in Fort sam houston, Texas. specializing in Sports Physical Therapist. They hold the professional credentials PT, DPT, SCS. They hold a License No. 05007204A (IN). The NPI Number for ANDREA FULLER (PT, DPT, SCS) is 1881685543

Main info

Female

26 Years Of Experience

Accepts Medicare Assignment

Name

ANDREA FULLER (PT, DPT, SCS)

NPI

1881685543

Phone

(210) 916-2460

Address

3851 ROGER BROOKE DR

Enumeration Date

2 November 2005

Last Update Date

7 October 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4082526076

Graduation Year

2000 (26 years ago)

PAC ID

0042642613

Group Practice PAC ID

0244335180

Professional Enrollment ID

I20191120001007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for ANDREA FULLER (PT, DPT, SCS)

3851 ROGER BROOKE DR
MCHE-QD/CREDENTIALS
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-2460
Type: Location
20823, Stevens Creek Boulevard, Cupertino, Santa Clara County, California, 95014, United States
STE 200
CUPERTINO, CA 950142112
Phone: (408) 252-6076
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 0244335180View full group profile

Name	Specialty	State
TYLER JACKSON (DPT)	Physical Therapist In Private Practice	CA
DEBORAH QUINN LEMIRE (PT)	-	CA
TONIA SCOTT (DPT)	Physical Therapist In Private Practice	CA
MRS. ANNE AKEMI HALL (PT)	-	CA
NAHIELY TORRES	Physical Therapist In Private Practice	CA
KELLY POON	Physical Therapist In Private Practice	CA
REBECCA MCQUEEN BOND (PT)	Physical Therapist In Private Practice	CA
LINDSAY VICTORIA CASE (DPT)	Physical Therapist In Private Practice	CA
DEREK AZZOPARDI (DPT)	Physical Therapist In Private Practice	CA
LEANNE LEE JUMAWAN YANO (DPT)	Physical Therapist In Private Practice	CA

Reviews

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Frequently asked questions

What federal number belongs to ANDREA FULLER (PT, DPT, SCS)?

The federal identifier for ANDREA FULLER (PT, DPT, SCS) is NPI 1881685543.

Is ANDREA FULLER (PT, DPT, SCS)'s NPI currently valid?

The extract we use shows ANDREA FULLER (PT, DPT, SCS) as active.

Does ANDREA FULLER (PT, DPT, SCS) list a primary specialty?

If you are matching referrals, note Sports Physical Therapist for ANDREA FULLER (PT, DPT, SCS). Clinical services aligned with this taxonomy classification.

Where is ANDREA FULLER (PT, DPT, SCS)'s primary listing?

We display Fort Sam Houston, Texas because that is what the record indicates for ANDREA FULLER (PT, DPT, SCS).

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.