Active NPI
Natalie Eve Fuller, PTA
- Physical Therapy Assistant
- Blairsville, GA
National Provider Identifier
1447968086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3091
- Practice address
- 35 Hospital Rd
Blairsville, GA 30512-3139 - Phone
- (706) 745-2111
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3091 | NC | Primary |
Addresses
Primary practice location
35 Hospital Rd
Blairsville, GA 30512-3139
Mailing address
133 Cabin Dr
Hayesville, NC 28904-9246
Phone (828) 557-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A3091 | Other | NC | PHYSICAL THERAPIST ASSISTANT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nataliefuller@uniongeneral.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3091 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1447968086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CABIN DR",
"city": "HAYESVILLE",
"state": "NC",
"postal_code": "289049246",
"telephone_number": "828-557-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 HOSPITAL RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123139",
"telephone_number": "706-745-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "NATALIE",
"middle_name": "EVE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A3091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST ASSISTANT",
"identifier": "A3091",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nataliefuller@uniongeneral.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "35 Hospital Rd",
"city": "Blairsville",
"state": "GA",
"country_code": "US",
"postal_code": "305123139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.