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

William Johnson Fuller, DPT

Individual provider Physical Therapist · NPI 1750062824

William Johnson Fuller, DPT is a Physical Therapist in Private Practice in Moncks Corner, South Carolina. Qualified in 2010, 16 years ago. Practices with Rsfh - Ati Physical Therapy LLC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
16
Licensed in
FL, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6741
Phone: (843) 761-4622
Fax: (803) 759-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6633 Gunn Hwy, Tampa, FL 33625-4056 — (813) 519-0604

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12810 (SC)
Physical Therapist Taxonomy 225100000X · Licence PT40202 (FL)

Record details

NPI number1750062824
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

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 Rsfh - Ati Physical Therapy Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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