Fuller Rehabilitation and Consulting Services Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FULLER REHABILITATION AND CONSULTING SERVICES INC.

Doing business as

Fuller Rehabilitation

Practice address

201 Center Park Dr
Suite 1000
Knoxville, TN 37922-2105

Phone

(865) 966-4452

Fax

(865) 966-4457

NPI assigned

Sep 20, 2006

Last updated

May 11, 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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fuller Rehabilitation and Consulting Services Inc.

  dba Independent Living Aids

  • Durable Medical Equipment & Medical Supplies
  • Clarksville, TN
  • NPI 1114026556
  NPPES parent name

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1851498067",
    "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": "201 CENTER PARK DR",
            "address_2": "SUITE 1000",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222105",
            "telephone_number": "865-966-4452",
            "fax_number": "865-966-4457"
        }
    ],
    "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": "2010-05-11",
        "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": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Fuhrmann
• Marteal Fulford
• Brogan Fulks, MD
• Daniel Stephen Fulks, MD
• Full Bloom (Full Bloom Women's Physio & Yoga)
• Anthony Blair Fuller, LPC, MHSP
• Jason Fuller, DPT
• Katherine L Fuller, AUD
• Lisa Ann Fuller, FNP-BC
• Lisa Ellen Fuller, MS, RD, LDN

• Customized Equipment (DME) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.