Fuller Rehabilitation and Consulting Services, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1313554 Issued in FL

Legal business name

FULLER REHABILITATION AND CONSULTING SERVICES, INC.

Practice address

3728 Philips Hwy
Suite 38
Jacksonville, FL 32207-6840

Phone

(904) 399-3509

Fax

(904) 399-3507

NPI assigned

May 27, 2009

Organization subpart

Yes

Parent organization

FULLER REHABILITATION AND CONSULTING SERVICES, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carter D. Fuller

Title

President, Ceo

Phone

(706) 965-0352

Specialties & licenses 2

Addresses

Other names 1

• Fuller Rehabilitation Doing business as

Part of

Fuller Rehabilitation and Consulting Services Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1043445653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 615",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307360615",
            "telephone_number": "706-965-6131",
            "fax_number": "706-413-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILIPS HWY",
            "address_2": "SUITE 38",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076840",
            "telephone_number": "904-399-3509",
            "fax_number": "904-399-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER REHABILITATION AND CONSULTING SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULLER REHABILITATION AND CONSULTING SERVICES, INC.",
        "enumeration_date": "2009-05-27",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "706-965-0352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1313554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Alice Fulghum, LMFT, L.P.C.
• Paul Fulghum, OD PA
• Full Circle Birth Center
• Full Swing Healthcare LLC
• Full-Out Wellness Healthcare Staffing
• Christopher Fuller, PT, DPT
• Christopher Marshall Fuller
• Erica Fuller, OTR/L
• Julie Fuller, LMT
• Keydella Fuller, APN

• Customized Equipment (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.