CHAD B FULLMER (M.P.T.) – Physical Therapist, NPI 1285760033
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for CHAD B FULLMER (M.P.T.)
1215 W 2420 N
PLEASANT GROVE, UT 840628083
Phone: (801) 635-6602
Type: Mailing
5314 RIVER RUN DR
PROVO, UT 846045691
Phone: (801) 426-4905
Type: Location
434 E THREE FALLS DR
ALPINE, UT 840041296
Phone: (801) 635-6602
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-24
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 |
|---|---|---|---|---|
| I20060324000243 | I | Physical Therapist In Private Practice | UT | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,616 | 79 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,455 | 84 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 1,079 | 69 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 404 | 57 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 200 | 82 | $0 |
Insurance plans in this area (ZIP 84062)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | UT | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1529 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | TX | |
| Qualified Speech Language Pathologist | OR | |
| Occupational Therapist In Private Practice | UT | |
| Occupational Therapist In Private Practice | NE | |
| Qualified Speech Language Pathologist | WY | |
| - | AZ | |
| Occupational Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | AZ | |
| Occupational Therapist In Private Practice | VA |
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