Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Fultz, PT

Individual provider Physical Therapist · NPI 1306677083

Andrew Fultz, PT is a Physical Therapist in Private Practice in Jefferson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2024, 2 years ago. Practices with Optimus Health Center, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

102 E Commerce Ct
Jefferson City, TN 37760-3200
Phone: (865) 475-3101
Fax: (865) 475-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15862 (TN)

Record details

NPI number1306677083
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address102 E Commerce Ct, Jefferson City, TN 37760-3200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2024 (2 years in practice)
Group practice Optimus Health Center, Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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