Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Patrick Shepard Fuller, PT, DPT

Individual provider Physical Therapist · NPI 1891981221

Mr. Patrick Shepard Fuller, PT, DPT is a Physical Therapist in Indialantic, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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.

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Practice location Address checks out

408 5th Ave
Indialantic, FL 32903-4280
Phone: (321) 727-2707
Fax: (321) 727-2977
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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 PT-23562 (FL)

Record details

NPI number1891981221
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007
Mailing address408 5th Ave, Indialantic, FL 32903-4280

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