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

Joseph Fullum

Individual provider Athletic Trainer · NPI 1396378824

Joseph Fullum is a 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
Mailing address57 Fernwood Rd, Rockaway, NJ 07866-2048

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

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