Fuller Rehabilitation and Consulting Services, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1313524 Issued in FL

Legal business name

FULLER REHABILITATION AND CONSULTING SERVICES, INC.

Doing business as

Fuller Rehabilitation

Practice address

136 Industrial Blvd
Pensacola, FL 32505-2202

Phone

(850) 477-2822

Fax

(850) 477-2824

NPI assigned

May 22, 2009

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

Locations

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1265667034",
    "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": "136 INDUSTRIAL BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052202",
            "telephone_number": "850-477-2822",
            "fax_number": "850-477-2824"
        }
    ],
    "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": "2009-05-22",
        "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": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1313524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Elise Fryou, LCSW
• Fsu Pediatric Residency Program
• Fsu Pediatric Residency Program
• Emilie L Fugate, APRN
• Alexa Fugina, MD
• Abigail Fuller
• Audra Fuller, PA-C
• Richard Fuller
• William R. Fullerton, RPH
• Ariana Fulton

• Customized Equipment (DME) in Pensacola, FL
• Providers in Pensacola, 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 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.