Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Connor M Fultz, MD

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1003435132

Connor M Fultz, MD practises Sports Medicine in Willow Grove, Pennsylvania. Graduated from Drexel University College of Medicine in 2020, 6 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 Maryland Rd Ste 20
Willow Grove, PA 19090-1732
Phone: (800) 321-9999
Fax: (267) 479-1321
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence MD486957 (PA)

Record details

NPI number1003435132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Jefferson Einstein Philadelphia Hospital Hospital · Philadelphia, PA

Also affiliated with 1 long-term care hospital, which CMS identifies by certification number only.

Colleagues at Phoenix Rehabilitation and Health Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2720 clinicians in the practice; 12 are shown here.