MARY ELLEN FULLER (NPI# 1689913774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689913774 |
| Entity Type | Individual |
| Full Name | MARY ELLEN FULLER |
| Credential | MHS, OTR/L |
| Practice Address |
1 Freedom Way Active Duty Rehab Unit (27) Augusta GA 30904-6258 |
| Mailing Address |
2307 Ruby Dr Augusta GA 30906-3051 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 004770 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1295052009 | Mary Elizabeth Fuller | Physical Therapist | 300 N Virginia St, Port Lavaca, TX 77979-3449 | 2010-05-03 |
| 1013113133 | Mary Ann Fuller | Dietitian, Registered | 415 Springtree Rd, Lake Dallas, TX 75065-2392 | 2007-06-25 |
| 1902938525 | Mary E Fuller | Marriage & Family Therapist | 835 Sorrelwood Ct, Westlake Village, CA 91361-1840 | 2007-03-09 |
| 1538130984 | Mary Margaret Fuller | Counselor | 40347 Us Highway 19 N Ste 103, Tarpon Springs, FL 34689-4841 | 2006-02-01 |
| 1497364053 | Mary Fuller | Preventive Medicine | 110 N Burr Blvd, Kewanee, IL 61443-2214 | 2020-07-29 |
| 1639723240 | Mary Cassandra Fuller | Nurse Practitioner | 4499 Medical Dr, San Antonio, TX 78229-3735 | 2019-07-31 |
| 1326503707 | Mary Alise Fuller | Technician | 3030 30th St Se, Washington, DC 20020-1674 | 2019-02-09 |
| 1245775428 | Mary N. Fuller | Nurse Practitioner | 109 Daniel Dr, Danville, KY 40422 | 2016-12-27 |
| 1285034058 | Mary Fuller | Registered Nurse | 495 Congress Ave, New Haven, CT 06519-1312 | 2014-08-29 |
| Street Address |
1 FREEDOM WAY ACTIVE DUTY REHAB UNIT (27) |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636238 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2215 Tobacco Rd Ste A, Augusta, GA 30906-8112 | 2019-05-30 |
| 1568029353 | Melissa A Armstrong | Occupational Therapist | 1 Freedom Way # 1101g119, Augusta, GA 30904-6258 | 2019-05-28 |
| 1518435189 | Pt Solutions of Acworth LLC | Occupational Therapist | 3121 Peach Orchard Rd Ste 203, Augusta, GA 30906-3535 | 2018-11-13 |
| 1629564968 | Lindsay Lively | Occupational Therapist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2018-07-10 |
| 1336652114 | Sandra Kohen David | Occupational Therapist | 449 Waverly Dr, Augusta, GA 30909-3154 | 2017-11-15 |
| 1255874111 | Tameika Brown | Occupational Therapist | 615 Saint Andrews Dr, Augusta, GA 30909-7816 | 2016-11-28 |
| 1992254833 | Justin Timothy Williams | Occupational Therapist | 254 Robert C Daniel Jr Pkwy Ste 4, Augusta, GA 30909-0812 | 2016-10-03 |
| 1013378256 | Aegis Group Practice LLC | Occupational Therapist | 945 Broad St, Augusta, GA 30901-1289 | 2016-03-16 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1689066383 | Courtney Ann Andersen | Occupational Therapist | 518 Ellison Way, Augusta, GA 30907-3280 | 2015-03-04 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.