Chad B. Fullmer, M.P.T.
Physical Therapist · Provo, UT
Chad B. Fullmer, M.P.T. is a physical therapist with a practice address in Provo, Utah, and NPI 1285760033, issued on Feb 26, 2007. Check the license (Utah 4877705-2401, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Chad B. Fullmer
- Credential
- M.P.T.
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 4877705-2401 UT
PT00010369 WA
Self-reported in NPPES; status is on the state search - Practice location
- 5314 River Run Dr, Provo, UT 84604
- Phone
- (801) 426-4905
- Enumerated
- Feb 26, 2007
- Record last updated
- Oct 29, 2024
- Medicare enrollment
- Enrolled (PECOS I20060324000243); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 5314 River Run Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jacob BrandenburgPhysical Therapist1538534847
- Glory Herman, CMHCMental Health Counselor1952102568
Verify Chad B. Fullmer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 4877705-2401Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Independence Rehab LLCOgden, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
105 physical therapist records list a practice address in Provo
They are 105 of the 5,405 NPPES records with a practice address in Provo, and 2,655 physical therapist records in Utah.
All 105 in Provo → All 2,655 in Utah → Every provider in Provo →
Other physical therapist records in Utah
- Ashley Aardsma, PTWest Valley City, UT1760968887
- Debra AbbottWest Jordan, UT1316377690
- Katherine AbbottSalt Lake City, UT1427739457
- Laura Aberton, PTSalt Lake City, UT1144208562
- Mark Aberton, PTSalt Lake City, UT1295713238
- Samuel AcacioSalt Lake City, UT1235495029
- Charles Acevedo, PTNorth Logan, UT1134239254
- Irene Acevedo, PT, CERT MDT, C/NDTSalt Lake City, UT1437254695
- Susanne Ackroyd, PTSalt Lake City, UT1962580308
- Alan Acord, PTSalt Lake City, UT1184728511
Common questions
What is Chad B. Fullmer, M.P.T.'s NPI number?
Chad B. Fullmer, M.P.T.'s National Provider Identifier (NPI) is 1285760033, issued on Feb 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Chad B. Fullmer, M.P.T. located?
The NPPES record lists a practice address at 5314 River Run Dr, Provo, UT, 84604. Phone: (801) 426-4905. Providers update this record themselves, so call before visiting.
How can I verify Chad B. Fullmer, M.P.T.'s license?
NPPES lists Utah license number 4877705-2401, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.