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

Nicholas Winfrey Fuller, LPTA

Individual provider Physical Therapy Assistant · NPI 1043771611

Nicholas Winfrey Fuller, LPTA is a Physical Therapy Assistant in Bedford, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2019

Practice location Address checks out

1229 County Farm Rd
Bedford, VA 24523-3131
Phone: (540) 586-7658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306605097 (VA)

Record details

NPI number1043771611
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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