Active NPI
Able Brace & Limb. LLC
- Prosthetic/Orthotic Supplier
- Monett, MO
National Provider Identifier
1083738348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ABLE BRACE & LIMB. LLC
- Practice address
- 411 N Central Ave
Monett, MO 65708-1917 - Phone
- (417) 235-2253
- Fax
- (417) 235-3985
- NPI assigned
- Mar 19, 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
- Bethany Deanne Peterson
- Title
- Owner
- Phone
- (417) 235-2253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
411 N Central Ave
Monett, MO 65708-1917
Mailing address
411 N Central Ave
Monett, MO 65708-1917
Phone (417) 235-2253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626064000 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
411 N Central Ave
Monett, MO 65708
Phone (417) 235-2253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1083738348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N CENTRAL AVE",
"city": "MONETT",
"state": "MO",
"postal_code": "657081917",
"telephone_number": "417-235-2253",
"fax_number": "417-235-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N CENTRAL AVE",
"city": "MONETT",
"state": "MO",
"postal_code": "657081917",
"telephone_number": "417-235-2253",
"fax_number": "417-235-3985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABLE BRACE & LIMB. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "DEANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-235-2253"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626064000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.