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INDEPENDENCE PROSTHETICS-ORTHOTICS
NPI 1215362850
Prosthetic/Orthotic Supplier in Charlottesville, VA

Active since September 13, 2013
612 RIO RD W STE 5, CHARLOTTESVILLE, VA 22901(434) 529-8882(434) 529-8882 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2023, Oct 12, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2018).

About Independence Prosthetics-orthotics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE PROSTHETICS-ORTHOTICS (NPI 1215362850) is a healthcare organization registered as a prosthetic/orthotic supplier in Charlottesville, Virginia and active in the NPI registry since September 2013. The organization maintains a secondary practice location in Fishersville and lists Bryan Carroll Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1215362850
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFULLER'S ORTHOPEDIC
Location Address612 RIO RD W STE 5Charlottesville, VA 22901-1412
Mailing Address612 Rio Rd W Ste 5Charlottesville, VA 22901-1412 · (434) 529-8882 · Fax (434) 529-8942
Phone(434) 529-8882
Fax(434) 529-8882
Organization SubpartNo
Authorized OfficialBryan Carroll FullerOwner · (434) 529-8882
Enumeration DateSeptember 13, 2013
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1215362850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedClinic/Center · AmputeeTaxonomy 261QA0900X
612 RIO RD W STE 5, Charlottesville, VA 22901
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Other Names 2

Doing Business AsIndependence Prosthetics-orthotics
Doing Business AsFuller Life Orthotics And Prosthetics

Secondary Practice Location 1

Location 136 Parkway Ln Ste 122Fishersville, VA 22939-2430 · Phone (540) 917-0006 · Fax (434) 529-8942

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Fuller Life Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

Fuller Life Orthotics & Prosthetics

DMEPOS supplier · Charlottesville, VAOperated by Fuller's Orthopedic
⋮

Does not accept Medicare assignment

Fuller Life Orthotics & Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20505371
Medicare Participant SinceJune 6, 2014
Supplier Location612 Rio Rd W Ste 5Charlottesville, VA 22901
Phone(434) 529-8882
Provider TypeCertified Orth/Pros/Pedorthist

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRYAN CARROLL FULLER CPO
Orthotist
612 RIO RD W STE 5
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 529-8882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fuller's Orthopedic's NPI number?

The NPI number for Fuller's Orthopedic is 1215362850. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Independence Prosthetics-Orthotics and Fuller Life Orthotics and Prosthetics.

Where is Fuller's Orthopedic located?

Fuller's Orthopedic is located at 612 Rio Rd W Ste 5, Charlottesville, VA 22901. The listed phone number is (434) 529-8882.

What is Fuller's Orthopedic's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Fuller's Orthopedic accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Fuller Life Orthotics & Prosthetics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Fuller's Orthopedic was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.