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

Cory Ryan Fuller, DPT

Individual provider Physical Therapist · NPI 1053714337

Cory Ryan Fuller, DPT is a Physical Therapist in Private Practice in Oneonta, Alabama. Qualified in 2013, 13 years ago. Practices with Sparks Physical Therapy Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
13
Licensed in
AL
In the registry since
2014
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

410 2nd Ave E Ste C
Oneonta, AL 35121-1412
Phone: (205) 274-0922
Fax: (205) 274-0924
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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 PTH7080 (AL)

Record details

NPI number1053714337
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 1, 2014
Last updated in NPPESOctober 1, 2014
Mailing address410 2nd Ave E, Suite C, Oneonta, AL 35121-1412

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sparks Physical Therapy Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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