Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Joseph Fullum

Individual provider Athletic Trainer · NPI 1396378824

Joseph Fullum is registered under Physical Therapist in Private Practice in Newark, Delaware. Qualified in 2023, 3 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2020
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Practice location Address checks out

540 S College Ave
Newark, DE 19713-1302
Phone: (973) 590-8293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1396378824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients82
Services billed 3,488 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Jag-One Physical Therapy LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 328 clinicians in the practice; 12 are shown here.

Other providers in Newark