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

Jared Fullmer, DPT

Individual provider Physical Therapist · NPI 1255790176

Jared Fullmer, DPT is a Physical Therapist in Private Practice in West Jordan, Utah. Qualified in 2015, 11 years ago. Practices with Registered Physical Therapists Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2016
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

1577 W 7000 S #100
West Jordan, UT 84084-7492
Phone: (801) 566-6301
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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 9634569-2401 (UT)

Record details

NPI number1255790176
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 19, 2016
Last updated in NPPESFebruary 19, 2016
Mailing address9720 S 1300 E, W200, Sandy, UT 84094-3712

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Registered Physical Therapists Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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