Organization Active NPI

Able Brace & Limb. LLC

  • Prosthetic/Orthotic Supplier
  • Monett, MO
National Provider Identifier
1083738348
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Apr 21, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
626064000MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.