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

Nicole M. Fullaway, DPT

Individual provider Orthopedic Physical Therapist · NPI 1235442690

Nicole M. Fullaway, DPT is a Physical Therapist in Private Practice in Point Pleasant Boro, New Jersey. Qualified in 2010, 16 years ago. Practices with Northeast Sports Medicine Group, PC, a 15-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311
Phone: (732) 714-0070
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 40QA01356100 (NJ)

Record details

NPI number1235442690
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESAugust 30, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northeast Sports Medicine Group, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount