Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Niah Yvette Fulford, PT, DPT

Individual provider Physical Therapist · NPI 1417071564

Niah Yvette Fulford, PT, DPT is a Physical Therapist in Ellenwood, Georgia. Works from 2 locations. Licensed in Georgia, Indiana and Virginia.

Licensed in
GA, IN, VA
In the registry since
2007
Specialties on file
3
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

2838 E Atlanta Rd Ste 2
Ellenwood, GA 30294-2780
Phone: (678) 782-3609
Fax: (678) 782-3803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1818 N State St, Greenfield, IN 46140-1086 — (317) 462-1800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT015191 (GA)
Physical Therapist Taxonomy 225100000X · Licence 050120183A (IN)
Physical Therapist Taxonomy 225100000X · Licence 2305204685 (VA)

Record details

NPI number1417071564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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