DR. NICHOLAS R FULCO DPT
NPI 1760006803
Physical Therapist in Shreveport, LA
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
Specialties & Licenses
- 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.
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.
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.