Organization Active NPI

Fuller Rehabilitation and Consulting Services Inc.

  • Customized Equipment (DME)
  • Tuscaloosa, AL
National Provider Identifier
1407953615
Registry record updated May 20, 2010
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
501 Hargrove Rd E
Suite 4-C
Tuscaloosa, AL 35401-3791
Phone
(205) 248-0284
Fax
(205) 248-0286
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 May 20, 2010

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 AL
Customized Equipment (DME) 332BC3200X AL Primary

Addresses

Primary practice location

501 Hargrove Rd E
Suite 4-C
Tuscaloosa, AL 35401-3791

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
009932063MedicaidAL

Other names 1

  • Fuller Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Part of
Fuller Rehabilitation and Consulting Services Inc

Locations

501 Hargrove Rd E
Ste 4C
Tuscaloosa, AL 35401
Phone (205) 248-0284

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": "1274313600000",
    "number": "1407953615",
    "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": "501 HARGROVE RD E",
            "address_2": "SUITE 4-C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013791",
            "telephone_number": "205-248-0284",
            "fax_number": "205-248-0286"
        }
    ],
    "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": "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": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932063",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • 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.