DARA FULLER OTD
NPI 1871414318
Occupational Therapist - Hand in North Charleston, SC

Active since July 22, 2026
2760 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 300-8585 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dara Fuller Otd NPPES

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

DARA FULLER OTD (NPI 1871414318) is an individual hand provider in North Charleston, South Carolina, licensed in South Carolina (8027) and active in the NPI registry since July 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1871414318
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameDARA FULLERCredential: OTD
Location Address2760 TRICOM STNorth Charleston, SC 29406-9169
Mailing Address2760 Tricom StNorth Charleston, SC 29406-9169 · (843) 300-8585
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1871414318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in SC · 8027
2760 TRICOM ST, North Charleston, SC 29406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dara Fuller Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143789800
PECOS Enrollment IDI20260824003844

Medicare Billing Reassignment

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

Sports Medicine
9100 MEDCOM ST
N Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 53 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 3

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

Physical Therapist
2760 TRICOM ST
NORTH CHARLESTON, SC 29406
Physical Therapist
2760 TRICOM ST
NORTH CHARLESTON, SC 29406
Physical Therapist
2760 TRICOM ST
NORTH CHARLESTON, SC 29406

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 Dara Fuller's NPI number?

The NPI number for Dara Fuller is 1871414318. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Dara Fuller located?

Dara Fuller practices at 2760 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 300-8585.

What is Dara Fuller's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Dara Fuller enrolled in Medicare?

Yes. Dara Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dara Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dara Fuller reassigns Medicare benefits to South Carolina Sports Medicine & Orthopaedic Center (N Charleston, SC). 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 Dara Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dara Fuller was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.