JENNIFER ELIZABETH FULLER PT
NPI 1265668446
Physical Therapist in Los Angeles, CA

Active since June 02, 2009
88.87/100
CMS Quality Rating
6080 CENTER DR., 6TH FLOOR SUITE # 639, LOS ANGELES, CA 90045(888) 859-0145 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2022, Aug 19, 2022, Apr 2, 2021 (3 updates tracked since 2021).

About Jennifer Elizabeth Fuller Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ELIZABETH FULLER PT (NPI 1265668446) is an individual physical therapist in Los Angeles, California, licensed in California (296647) and active in the NPI registry since June 2009. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265668446
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJENNIFER ELIZABETH FULLERCredential: PT
Location Address6080 CENTER DR., 6TH FLOOR SUITE # 639Los Angeles, CA 90045-9205
Mailing Address1600 Main St Fl 2Venice, CA 90291-3626 · (888) 859-0145 · Fax (888) 858-1601
Sole ProprietorNo
Enumeration DateJune 2, 2009
Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
✔ NPI 1265668446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in CA · 296647✔ Licensed in WA · PT60044173
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6080 CENTER DR., Los Angeles, CA 90045

Other Names 1

Former Name (1)Jennifer Elizabeth Stoeck Pt

Secondary Practice Locations 2

Location 11100 9th AveSeattle, WA 98101-2756 · Phone (888) 862-2737
Location 21600 Main St Fl 2Venice, CA 90291-3626 · Phone (888) 859-0145 · Fax (888) 858-1601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Elizabeth Fuller Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Jennifer Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1360 W 6TH ST, #210 NORTH BUILDING
San Pedro, CA 90732
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Geriatrics
30025 ALICIA PKWY STE G-262
Laguna Niguel, CA 92677
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
Multi-Specialty
533 2ND ST # 341
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
526 services15 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.91
Improvement Activities40

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapy Assistant
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist (Orthopedic)
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Physical Therapist
6080 CENTER DR., 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1265668446. It was assigned to this individual provider in the NPPES registry on June 2, 2009. The provider is also known as Jennifer Elizabeth Stoeck Pt.

Where is Jennifer Fuller located?

Jennifer Fuller practices at 6080 Center Dr. 6th Floor Suite # 639, Los Angeles, CA 90045. The listed phone number is (888) 859-0145.

What is Jennifer Fuller's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jennifer Fuller enrolled in Medicare?

Yes. Jennifer Fuller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fuller reassigns Medicare benefits to 4 organizations: Praxis Physical Therapy, Inc. (San Pedro, CA), Mesisca Physical Therapy Inc (Laguna Niguel, CA), In-Home Physical Therapy PC (Encinitas, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Fuller was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.