Active NPI
Fuller Rehabilitation and Consulting Services Inc.
- Customized Equipment (DME)
- Tuscaloosa, AL
National Provider Identifier
1407953615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009932063 | Medicaid | AL |
Other names 1
- Fuller Rehabilitation
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.