Jordan Louis Fuller, PT, DPT, LAT, ATC
Jordan Louis Fuller, PT, DPT, LAT, ATC is a Physical Therapist in Private Practice in Waltham, Massachusetts. Qualified in 2022, 4 years ago. Practices with Pro Sports Therapy Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 4
- Licensed in
- MA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
- LAT — Licensed Athletic Trainer
- A state-licensed athletic trainer.
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
840 Winter StWaltham, MA 02451-1433
Phone: (781) 487-9944
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 50 Ocean Ave Apt 513a, Revere, MA 02151-3897 — (916) 337-4524
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 26548 (MA) |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 3209 (MA) |
Record details
| NPI number | 1992214803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT , LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | September 22, 2017 |
| Last updated in NPPES | November 10, 2022 |
| Certification date | November 10, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Pro Sports Therapy Inc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |