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

Sydney Fullerton

Individual provider Physical Therapist · NPI 1205661097

Sydney Fullerton is a Physical Therapist in Private Practice in Davis, Oklahoma. Qualified in 2024, 2 years ago. Practices with Ptms 3.0 LLC, a 114-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

201 W Main St
Davis, OK 73030-1749
Phone: (580) 369-3900
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6614 (OK)

Record details

NPI number1205661097
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2024
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ptms 3.0 Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davis