JORDAN FULLER DPT
NPI 1386266211
Physical Therapist in Crystal Falls, MI

Active since May 14, 2020
1523 US HIGHWAY 2, CRYSTAL FALLS, MI 49920(906) 874-1444 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jordan Fuller Dpt NPPES

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

JORDAN FULLER DPT (NPI 1386266211) is an individual physical therapist in Crystal Falls, Michigan, licensed in Michigan (5501019539) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1386266211
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJORDAN FULLERCredential: DPT
Location Address1523 US HIGHWAY 2Crystal Falls, MI 49920-9633
Mailing Address836 Cambria StreetCresson, PA 16630 · (814) 242-3796
Sole ProprietorNo
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1386266211 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
License✔ Licensed in MI · 5501019539
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.
1523 US HIGHWAY 2, Crystal Falls, MI 49920

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Fuller Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

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

End-Stage Renal Disease (ESRD) Treatment
1328 US HIGHWAY 2
Crystal Falls, MI 49920
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1497750830 (Michigan)
  • 200 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 264 clinicians in this Medicare group
Clinic/Center
730 S 7TH ST
Ontonagon, MI 49953
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1023161932 (Michigan)
  • 210 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.

Other Providers at the Same Location NPPES 3

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

Occupational Therapy Assistant
1523 US HIGHWAY 2
CRYSTAL FALLS, MI 49920
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1523 US HIGHWAY 2
CRYSTAL FALLS, MI 49920
Occupational Therapist
1523 US HIGHWAY 2
CRYSTAL FALLS, MI 49920

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 Jordan Fuller's NPI number?

The NPI number for Jordan Fuller is 1386266211. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Jordan Fuller located?

Jordan Fuller practices at 1523 Us Highway 2, Crystal Falls, MI 49920. The listed phone number is (906) 874-1444.

What is Jordan Fuller's specialty?

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

Is Jordan Fuller enrolled in Medicare?

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

Which organizations bill Medicare for Jordan Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Fuller reassigns Medicare benefits to 4 organizations: Aspirus Iron River Hospital & Clinics, Inc. (Crystal Falls, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI) and Aspirus Keweenaw (Ontonagon, MI). 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 Jordan Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Fuller accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jordan Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Fuller was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.