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

Individual provider Physical Therapist · NPI 1760006803

Dr. Nicholas R Fulco, DPT is a Physical Therapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2020
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

502 Anderson Ave
Shreveport, LA 71104-3602
Phone: (318) 200-0386
Fax: (866) 825-4104
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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 10556 (LA)

Record details

NPI number1760006803
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 4, 2020
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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