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GENA FULLER ATC/L
NPI 1619577103
Specialist/Technologist - Athletic Trainer in Bridgeport, CT

Active since October 26, 2020
4675 MAIN ST, BRIDGEPORT, CT 06606(203) 373-0551 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gena Fuller Atc/l NPPES

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

GENA FULLER ATC/L (NPI 1619577103) is an individual athletic trainer provider in Bridgeport, Connecticut, licensed in Connecticut (1026) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1619577103
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameGENA FULLERCredential: ATC/L
Location Address4675 MAIN STBridgeport, CT 06606-1813
Mailing Address35 Voight AveBridgeport, CT 06606-1537 · (203) 814-8108
Phone(203) 373-0551
Sole ProprietorYes
Enumeration DateOctober 26, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedAugust 26, 2020
✔ NPI 1619577103 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
License✔ Licensed in CT · 1026
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.

4675 MAIN ST, Bridgeport, CT 06606
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Other Identifiers 1

Other1026CT · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

BRIAN MARSH P.T.
Physical Therapist
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 373-0551
NATHAN DEMAIO
Counselor (Addiction (Substance Use Disorder))
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 344-0025
PATRICIA A CARRINGTON
Licensed Practical Nurse
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 779-0860
DR. MICHELE DIANE KOLESZAR M.D.
Obstetrics & Gynecology (Gynecology)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-9998
ALLERGY CENTER OF CONNECTICUT, P.C.
Allergy & Immunology
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6104
DR. CHRISTINA KOLADE D.O.
Family Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 344-0025
DR. WILLIAM JAMES ROCKWELL M.D.
Allergy & Immunology (Allergy)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6103
DR. EBENEZER KOLADE M.D.
Internal Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-3333

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 Gena Fuller's NPI number?

The NPI number for Gena Fuller is 1619577103. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Gena Fuller located?

Gena Fuller practices at 4675 Main St, Bridgeport, CT 06606. The listed phone number is (203) 373-0551.

What is Gena Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Gena Fuller was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.