Organization Active NPI

Jim Myers Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Tuscaloosa, AL
National Provider Identifier
1114066560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JIM MYERS ORTHOTICS & PROSTHETICS, LLC
Practice address
600 University Blvd E
Ste B
Tuscaloosa, AL 35401-2067
Phone
(205) 248-8993
Fax
(205) 248-8471
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Melody Johnston Harrell
Title
Office Administrator
Phone
(205) 246-9789

Specialties & licenses 1

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

Addresses

Primary practice location

600 University Blvd E
Ste B
Tuscaloosa, AL 35401-2067

Mailing address

600 University Blvd E
Ste B
Tuscaloosa, AL 35401-2067
Phone (205) 248-8993

National Provider Directory

National Provider Directory

Locations

600 University Blvd E
Ste B
Tuscaloosa, AL 35401
Phone (205) 248-8993

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114066560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD E",
            "address_2": "STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012067",
            "telephone_number": "205-248-8993",
            "fax_number": "205-248-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD E",
            "address_2": "STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012067",
            "telephone_number": "205-248-8993",
            "fax_number": "205-248-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM MYERS ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "JOHNSTON",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-246-9789",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • 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.