Jordan Louis Fuller, PT, DPT, LAT, ATC

2081S0010X

Waltham, MA

Specialty

2081S0010X

Credential

PT, DPT, LAT, ATC

NPI

1992214803

Affiliated Facility

Boston Outpatient Surgical Suites Llc

840 Winter St., Waltham, MA 02451

(781) 895-4901

Medicare★ 4.9 Google (337)95% Patient Rating

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About this profile: Surgeon information is sourced from the CMS National Plan and Provider Enumeration System (NPPES) NPI Registry and reflects the practice address on file as of February 2026. Facility affiliation is based on matching practice address to CMS-certified ambulatory surgery center locations.

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2081S0010X

This surgeon specializes in 2081s0010x procedures performed in an outpatient ambulatory surgical setting.

NUCC Taxonomy: 2081S0010X

Affiliated Surgery Center

Boston Outpatient Surgical Suites Llc

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