Fuller Rehabilitation and Consulting Services, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FULLER REHABILITATION AND CONSULTING SERVICES, INC.

Doing business as

Fuller Rehabilitation

Practice address

3900 Bristol Hwy
Suite 11
Johnson City, TN 37601-1391

Phone

(423) 467-9922

Fax

(423) 467-9944

NPI assigned

Sep 22, 2006

Last updated

May 20, 2010By the provider in NPPES

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fuller Rehabilitation and Consulting Services Inc.

  dba Independent Living Aids

  • Durable Medical Equipment & Medical Supplies
  • Clarksville, TN
  • NPI 1114026556
  NPPES parent name

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1184723512",
    "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": "3900 BRISTOL HWY",
            "address_2": "SUITE 11",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011391",
            "telephone_number": "423-467-9922",
            "fax_number": "423-467-9944"
        }
    ],
    "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": "2006-09-22",
        "last_updated": "2010-05-20",
        "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": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Marie Fugere, LCSW
• Jordan Fugitt, PHARMD
• Alana Mary Fuhr, PTA
• Aleksandr M. Fuks, M.D.
• Timothy Michael Fullagar, M.D.
• Kira Fuller, DO
• Mary Leah Fultineer, BA CPRP
• Functional Feeding Solutions
• Mary Helen Fuqua, CTRS
• Maurice Furdge, MD

• Customized Equipment (DME) in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Customized Equipment (DME) in Tennessee

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