MRS. SARA MICHELE FULLER OTR
NPI 1699035907
Occupational Therapist in Avilla, IN

Active since May 21, 2012Accepts Medicare Assignment
515 N MAIN ST, AVILLA, IN 46710(260) 897-2841 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sara Michele Fuller Otr NPPES

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

MRS. SARA MICHELE FULLER OTR (NPI 1699035907) is an individual occupational therapist in Avilla, Indiana, licensed in Indiana (31002824A) and active in the NPI registry since May 2012. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1699035907
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. SARA MICHELE FULLERCredential: OTR
Location Address515 N MAIN STAvilla, IN 46710-9601
Mailing Address6230 Hathaway RdFort Wayne, IN 46818-9545 · (260) 615-4437
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 21, 2012
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1699035907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IN · 31002824A
Definition
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.
515 N MAIN ST, Avilla, IN 46710

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sara Michele Fuller Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921564329
PECOS Enrollment IDI20260727001872

Medicare Billing Reassignment

Medicare enrollment records show Sara Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
303 N HURSTBOURNE PKWY STE 200
Louisville, KY 40222
  • Reassigned Medicare billing, North Carolina enrollment
  • 165 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
515 N MAIN ST
AVILLA, IN 46710
Physical Therapist (Geriatrics)
515 N MAIN ST
AVILLA, IN 46710
Skilled Nursing Facility
515 N MAIN ST
AVILLA, IN 46710
Occupational Therapy Assistant
515 N MAIN ST
AVILLA, IN 46710
Occupational Therapy Assistant (Environmental Modification)
515 N MAIN ST
AVILLA, IN 46710
Physical Therapy Assistant
515 N MAIN ST
AVILLA, IN 46710
Occupational Therapist
515 N MAIN ST
AVILLA, IN 46710

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 Sara Fuller's NPI number?

The NPI number for Sara Fuller is 1699035907. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Sara Fuller located?

Sara Fuller practices at 515 N Main St, Avilla, IN 46710. The listed phone number is (260) 897-2841.

What is Sara Fuller's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Sara Fuller enrolled in Medicare?

Yes. Sara Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sara Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Fuller reassigns Medicare benefits to Paragon Outpatient Rehabilitation Services, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Fuller accept?

Health plans from Blue Cross and Blue Shield of NC list Sara Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Fuller was last updated on April 12, 2024. 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.