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

420 Dividend Drive
Suite B
Peachtree City, GA 30269-1972

Phone

(770) 486-7577

Fax

(770) 486-7556

NPI assigned

Sep 20, 2006

Last updated

May 20, 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 identifiers 1

Other names 1

• Fuller Rehabilitation Doing business as

Part of

Fuller Rehabilitation and Consulting Services Inc

Locations

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
  • Peachtree City, GA
  • NPI 1104923325
  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": "1274313600000",
    "number": "1851498125",
    "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": "420 DIVIDEND DRIVE",
            "address_2": "SUITE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691972",
            "telephone_number": "770-486-7577",
            "fax_number": "770-486-7556"
        }
    ],
    "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": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000660074C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Andrew Freeman, PHD, LPC, NCC, MAC
• Martha Friedl
• James Fryzel
• Fuller Life Chiropractic Center
• Fuller Rehabilitation and Consulting Services Inc. (Independent Living Aids)
• Fundamental Therapy Group LLC
• Eric Fusan, FNP-C
• Desiree Fussey
• Janee Gaines
• Jesse Gainsbrugh

• Customized Equipment (DME) in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Customized Equipment (DME) in Georgia

• 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.