Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Peter Anthony Fadullon, PT

Individual provider Physical Therapist · NPI 1891883302

Mr. Peter Anthony Fadullon, PT is a Physical Therapist in Frisco, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12105 Jereme Trl
Frisco, TX 75035-8224
Phone: (972) 335-9127
Fax: (972) 335-9127
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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 1075026 (TX)

Record details

NPI number1891883302
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESJuly 8, 2007

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