Mia Fuller, MS,OTR,CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT000932 Issued in GA

Practice address

11180 State Bridge Rd
Suite 305
Alpharetta, GA 30022-7482

Phone

(678) 992-0303

Fax

(678) 992-0302

NPI assigned

Nov 30, 2006

Last updated

Aug 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hand and Upper Extremity Center of Ga, PCGroup PAC ID 8820071160, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Hand and Upper Extremity Center of Ga, PC

  • Orthopaedic Hand Surgery Physician
  • Atlanta, GA
  • NPI 1083739437
  Medicare reassignment Care Compare group NPD
• Comprehensive Therapy Solutions

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1356419493
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1619045770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 HAMPTONS XING",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300057415",
            "telephone_number": "404-308-3820",
            "fax_number": "678-992-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD",
            "address_2": "SUITE 305",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227482",
            "telephone_number": "678-992-0303",
            "fax_number": "678-992-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "OT000932",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501099970B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scot Fry, LCSW
• Julie Turner Fryman, M.D.
• Casey Fuchs, BS
• Full Motion Medical
• Cynthia Fuller
• Fulton County Board of Health (North Fulton Regional Health Center)
• Fulton Wheelchair Transportation LLC
• Bianca A Furse, MS
• Fusion Health Solutions, LLC
• Fusion Sleep LLC

• Occupational Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.