Extremity Care, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXTREMITY CARE, LLC

Practice address

3901 Main Street, Suite 101a
Philadelphia, PA 19127

Phone

(888) 694-6694

Fax

(800) 886-8266

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Scott Andrew Madden

Title

Owner

Phone

(815) 382-7462

Specialties & licenses 1

Addresses

Other names 2

• Extremity Care Doing business as
• Extremity Care, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1033690920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MAIN STREET, SUITE 101A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19127",
            "telephone_number": "888-694-6694",
            "fax_number": "800-886-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN STREET, SUITE 101A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19127",
            "telephone_number": "888-694-6694",
            "fax_number": "800-886-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREMITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-382-7462"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extremity Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extremity Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.