JOSEPH FULLUM
NPI 1396378824
Specialist/Technologist - Athletic Trainer in Newark, DE

Q: What is Joseph Fullum's NPI number?

The NPI number for Joseph Fullum is 1396378824. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Q: What is Joseph Fullum's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Fullum was last updated on February 12, 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.

Active since February 12, 2020Accepts Medicare Assignment

540 S COLLEGE AVE, NEWARK, DE 19713(973) 590-8293 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Joseph Fullum NPPES

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

JOSEPH FULLUM (NPI 1396378824) is an individual athletic trainer provider in Newark, Delaware and active in the NPI registry since February 2020. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1396378824

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJOSEPH FULLUM

Location Address540 S COLLEGE AVENewark, DE 19713-1302

Mailing Address57 Fernwood RdRockaway, NJ 07866-2048

Phone(973) 590-8293

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 12, 2020

✔ NPI 1396378824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

540 S COLLEGE AVE, Newark, DE 19713

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Fullum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648636043

PECOS Enrollment IDI20230509002268

Medicare Billing Reassignment

Medicare enrollment records show Joseph Fullum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jag-One Physical Therapy, LLC

112 mi

Physical Therapist

622 EAGLE ROCK AVE
West Orange, NJ 07052

Reassigned Medicare billing, New Jersey enrollment
472 clinicians in this Medicare group

NPI 1518017144 (973) 669-0078

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 8

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.

991 services79 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

743 services70 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

741 services68 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

692 services73 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

133 services12 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

92 services11 patients

Other Providers at the Same Location NPPES 20

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

REESE BUTLER

Specialist/Technologist (Athletic Trainer)

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (609) 957-9952

DR. SCOTT D FENSTERMACHER PT, DPT

Physical Therapist

540 S COLLEGE AVE, SUITE 160
NEWARK, DE 19713

New Castle County (302) 831-8893

JULIANA PERNO

Specialist/Technologist (Athletic Trainer)

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (718) 619-1379

ERIN FINLEY

Specialist/Technologist (Athletic Trainer)

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (484) 885-7097

KURT SCHMEAL

Specialist/Technologist (Athletic Trainer)

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (973) 309-3325

DR. RACHEL REOLI DPT

Physical Therapist

540 S COLLEGE AVE, SUITE 160
NEWARK, DE 19713

New Castle County (301) 831-8893

EMILIE HAGER

Specialist/Technologist (Athletic Trainer)

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (302) 932-0243

CELESTE DIX

Physical Therapist

540 S COLLEGE AVE
NEWARK, DE 19713

New Castle County (302) 831-8893

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 Joseph Fullum's NPI number?

The NPI number for Joseph Fullum is 1396378824. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Joseph Fullum located?

Joseph Fullum practices at 540 S College Ave, Newark, DE 19713. The listed phone number is (973) 590-8293.

What is Joseph Fullum's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Joseph Fullum enrolled in Medicare?

Yes. Joseph Fullum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Joseph Fullum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Fullum reassigns Medicare benefits to Jag-One Physical Therapy, LLC (West Orange, NJ). The 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 Joseph Fullum'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 Joseph Fullum was last updated on February 12, 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.