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

Austin Fulcher

Individual provider Occupational Therapy Assistant · NPI 1669352654

Austin Fulcher is an Occupational Therapy Assistant in Bloomingdale, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

335 Old Rail Rd
Bloomingdale, GA 31302-4025
Phone: (912) 421-0140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA003148 (GA)

Record details

NPI number1669352654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 2, 2025
Mailing address891 Old Dixie Hwy S, Springfield, GA 31329-4014