Three Legged Dog, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THREE LEGGED DOG, LLC

Practice address

2315 Forest Dr Ste C
Annapolis, MD 21401-3837

Phone

(410) 573-9277

Fax

(410) 573-9278

NPI assigned

May 28, 2007

Organization subpart

No

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

Authorized official

Name

John Sullivan

Title

Owner

Phone

(410) 573-9277

Specialties & licenses 1

Addresses

Other names 1

• foot solutions Other name

Locations

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073724274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 FOREST DR STE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013837",
            "telephone_number": "410-573-9277",
            "fax_number": "410-573-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 FOREST DR STE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013837",
            "telephone_number": "410-573-9277",
            "fax_number": "410-573-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LEGGED DOG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-573-9277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "foot solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Tillar Thompson, DNP
• Stephanie Thompson
• Summer Thompson
• Loc M Thomson, CRNP
• Wendy Thornton, OT
• Kelly Thurmond, PTA
• Victoria Thursby
• Kyleen Tice, PT
• Eileen S Tidd, M.D.
• Douglas Gilbert Tilley II, LCSW-C

• Durable Medical Equipment & Medical Supplies in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.