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

Brooklyn Ruth Fulk, DPT

Individual provider Physical Therapist · NPI 1790509115

Brooklyn Ruth Fulk, DPT is a Physical Therapist in Private Practice in Mount Vernon, Missouri. Qualified in 2023, 3 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

334 E Mount Vernon Blvd
Mount Vernon, MO 65712-2024
Phone: (417) 461-0952
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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 2023034168 (MO)

Record details

NPI number1790509115
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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