Organization Active NPI

Fuller Rehabilitation and Consulting Services Inc.

  • Customized Equipment (DME)
  • Lexington, KY
National Provider Identifier
1073610283
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FULLER REHABILITATION AND CONSULTING SERVICES INC.
Doing business as
Fuller Rehabilitation
Practice address
2591 Palumbo Dr
Suite 5
Lexington, KY 40509-1258
Phone
(859) 543-9089
Fax
(859) 543-9069
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
FULLER REHABILITATION AND CONSULTING SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2591 Palumbo Dr
Suite 5
Lexington, KY 40509-1258

Mailing address

PO Box 615
Ringgold, GA 30736-0615
Phone (706) 965-6131

Other names 1

  • Fuller Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Part of
Fuller Rehabilitation and Consulting Services Inc

Locations

2591 Palumbo Dr
Ste 5
Lexington, KY 40509
Phone (859) 543-9089

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1073610283",
    "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": "2591 PALUMBO DR",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091258",
            "telephone_number": "859-543-9089",
            "fax_number": "859-543-9069"
        }
    ],
    "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": "2006-09-20",
        "last_updated": "2011-01-20",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.