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

Charles Alexander Fuller

Individual provider Physical Therapist · NPI 1366321754

Charles Alexander Fuller is a Physical Therapist in Fort Sam Houston, Texas. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3551 Rodger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (770) 545-1469
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017777 (GA)

Record details

NPI number1366321754
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 16, 2025
Mailing address3551 Rodger Brooke Dr, Fort Sam Houston, TX 78234

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