Individual provider · Type 1 NPI

Jordan Louis Fuller, PT, DPT, LAT, ATC

Physical Therapist · Waltham, MA

NPI number 1992214803 Active

Practice location

840 Winter St
Waltham, MA 02451-1433

Call (781) 487-9944 Map

Mailing address

50 Ocean Ave Apt 513A
Revere, MA 02151-3897

Other practice locations

  • 50 Ocean Ave Apt 513A, Revere, MA 02151-3897 · (916) 337-4524

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X3209 (MA)
Physical Therapist Primary 225100000X26548 (MA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1992214803

Jordan Louis Fuller, PT, DPT, LAT, ATC's National Provider Identifier is 1992214803, issued on Sep 22, 2017. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Waltham, MA. The record was last updated on Nov 10, 2022.