Active NPI
Probrace, Inc.
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
National Provider Identifier
1003019142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602726221
- Legal business name
- PROBRACE, INC.
- Practice address
- 11802 NE 65TH St Ste 101
Vancouver, WA 98662-5521 - Phone
- (800) 586-4403
- Fax
- (800) 586-4403
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peg Leland
- Title
- Officer
- Phone
- (360) 556-0431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 602726221 | WA | Primary |
Addresses
Primary practice location
11802 NE 65TH St Ste 101
Vancouver, WA 98662-5521
Mailing address
11802 NE 65TH St Ste 101
Vancouver, WA 98662-5521
Phone (800) 586-4403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0225913 | Other | WA | WA LABOR & INDUSTRIES |
National Provider Directory
National Provider DirectoryLocations
11802 NE 65th St
Ste 101
Vancouver, WA 98662
Phone (800) 586-4403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotic Fitter
- Vancouver, WA
- NPI 1396907630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1003019142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11802 NE 65TH ST STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986625521",
"telephone_number": "800-586-4403",
"fax_number": "800-586-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11802 NE 65TH ST STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986625521",
"telephone_number": "800-586-4403",
"fax_number": "800-586-4403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROBRACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "LELAND",
"authorized_official_first_name": "PEG",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "360-556-0431"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "602726221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "0225913",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
- Priya Mistry DDS PC
- Proactive Care Chiropractic
- Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC
- Proactive Orthopedic and Sports Physical Therapy of Vancouver, LLC
- Proactive Physical Therapy -Salmon Creek
- Naomy Procopoi, PA-C
- Project Patch
- Alena Teanna Prosdocimi
- Prosody Mental Health
- Michelle G Prostler, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.