DR. NICHOLAS R FULCO DPT
NPI 1760006803
Physical Therapist in Shreveport, LA

Active since June 04, 2020
502 ANDERSON AVE, SHREVEPORT, LA 71104(318) 200-0386(866) 825-4104 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2023, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Nicholas R Fulco Dpt NPPES

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

DR. NICHOLAS R FULCO DPT (NPI 1760006803) is an individual physical therapist in Shreveport, Louisiana, licensed in Louisiana (10556) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1760006803
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. NICHOLAS R FULCOCredential: DPT
Location Address502 ANDERSON AVEShreveport, LA 71104-3602
Mailing Address6123 Kateland CirBossier City, LA 71111-6988 · (318) 754-7367
Fax(866) 825-4104
Sole ProprietorYes
Enumeration DateJune 4, 2020
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1760006803 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 LA · 10556
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.
502 ANDERSON AVE, Shreveport, LA 71104

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)

Dr. Nicholas R Fulco Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapist
172 HERITAGE STE K
Broussard, LA 70518
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 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.

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 Nicholas Fulco's NPI number?

The NPI number for Nicholas Fulco is 1760006803. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Nicholas Fulco located?

Nicholas Fulco practices at 502 Anderson Ave, Shreveport, LA 71104. The listed phone number is (318) 200-0386.

What is Nicholas Fulco's specialty?

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

Is Nicholas Fulco enrolled in Medicare?

Yes. Nicholas Fulco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Fulco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fulco reassigns Medicare benefits to Fulco And Hall Performance And Therapy LLC (Broussard, LA). 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 Nicholas Fulco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Fulco accept?

Health plans from HMO Louisiana list Nicholas Fulco 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 Nicholas Fulco was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.