Fuller's Orthopedic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FULLER'S ORTHOPEDIC

Doing business as

Fuller Life Orthotics and Prosthetics
Independence Prosthetics-Orthotics

Practice address

612 Rio Rd W Ste 5
Charlottesville, VA 22901-1412

Phone

(434) 529-8882

Fax

(434) 529-8882

NPI assigned

Sep 13, 2013

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan Sabel

Title

Owner

Phone

(302) 369-9476

Specialties & licenses 2

Addresses

Other names 2

• Fuller Life Orthotics and Prosthetics Doing business as
• Independence Prosthetics-Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fuller's Orthopedic

  dba Independence Prosthetics-Orthotics

  • Prosthetist
  • Fishersville, VA
  • NPI 1164294948
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Carroll Fuller, CPO

  • Orthotist
  • Charlottesville, VA
  • NPI 1487089124
  NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1215362850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 RIO RD W STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011412",
            "telephone_number": "434-529-8882",
            "fax_number": "434-529-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 RIO RD W STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011412",
            "telephone_number": "434-529-8882",
            "fax_number": "434-529-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Parkway Ln Ste 122",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392430",
            "country_code": "US",
            "telephone_number": "540-917-0006",
            "fax_number": "434-529-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULLER'S ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-369-9476"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Life Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Independence Prosthetics-Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Fuller
• Bryan Carroll Fuller, CPO
• Corene S Fuller, PA
• Renee Ann Fuller, OT
• Robert R Fuller, MD
• Olivia Fulton, OT
• Colton Funk
• Joyce Funston, RN IBCLC
• Megan Furey
• Jennifer Furlow, NP

• Prosthetic/Orthotic Supplier in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.