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

Madison Eubanks Fullen, PTDPT

Individual provider Physical Therapist · NPI 1700420858

Madison Eubanks Fullen, PTDPT is a Physical Therapist in Private Practice in Louisville, Kentucky. Graduated from University of Kentucky College of Medicine in 2019, 7 years ago. Practices with Prorehab Louisville, a 72-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2019
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Practice location Address checks out

10321 Champion Farms Dr
Louisville, KY 40241-6129
Phone: (502) 882-9379
Fax: (502) 805-0529
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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 007823 (KY)

Record details

NPI number1700420858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedNovember 1, 2019
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Prorehab Louisville — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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