NPIMap

Organization Active NPI

Westcoast Brace & Limb

  • Prosthetic/Orthotic Supplier
  • Maitland, FL
National Provider Identifier
1013482546
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WESTCOAST BRACE & LIMB
Practice address
341 N Maitland Ave Ste 210
Maitland, FL 32751-4771
Phone
(813) 985-5000
Fax
(813) 985-4499
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Dorr
Title
Practice Manager
Phone
(813) 985-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

341 N Maitland Ave Ste 210
Maitland, FL 32751-4771

Mailing address

5311 E Fletcher Ave
Temple Terrace, FL 33617-1147
Phone (813) 985-5000

Other identifiers 1

IdentifierTypeStateIssuer
109525300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419001167 FL DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4284751785 Practice locations: Maitland, FL

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Westcoast Brace & Limb341 N Maitland Ave, Maitland, FL 32751-4771(407) 502-0024 Neuromuscular Elect Stimulators (NMES)/Supplies|Traction Equipment|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Westcoast Brace and Lim7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4809 Memorial Hwy
Ste C
Tampa, FL 33634

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1013482546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 E FLETCHER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171147",
            "telephone_number": "813-985-5000",
            "fax_number": "813-985-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514771",
            "telephone_number": "813-985-5000",
            "fax_number": "813-985-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST BRACE & LIMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "DORR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-985-5000"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109525300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.