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) 895-4901Medicare★ 4.9 Google (337)95% Patient Rating
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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View NPI Record2081S0010X
This surgeon specializes in 2081s0010x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2081S0010X