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

David C. Fuller, DPT

Individual provider Physical Therapist · NPI 1790932705

David C. Fuller, DPT is a Physical Therapist in Private Practice in Derby, Kansas. Qualified in 2008, 18 years ago. Practices with Family Medcenters PA, a 16-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
18
Licensed in
KS
In the registry since
2008
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1101 N Rock Rd
Derby, KS 67037-3705
Phone: (316) 788-6963
Fax: (316) 788-5373
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-03853 (KS)

Record details

NPI number1790932705
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2008
Last updated in NPPESOctober 6, 2008
Mailing address1101 N Rock Rd, Derby, KS 67037-3705

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Medcenters Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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