Abc Orthotics & Prosthetics Cullman, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

15827 Issued in AL

Legal business name

ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC

Practice address

501 Main Ave SW
Cullman, AL 35055-4728

Phone

(256) 775-6041

Fax

(256) 775-6058

NPI assigned

Sep 29, 2010

Organization subpart

Yes

Parent organization

ABC ORTHOTICS & PROSTHETICS CULLMAN, LLCAs reported in NPPES

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

Authorized official

Name

Aleisha Mullins Harvey, CMF,CPOA

Title

Manager

Phone

(256) 775-6041

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Abc Orthotics Prosthetics Cullman LLC

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1134438898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554728",
            "telephone_number": "256-775-6041",
            "fax_number": "256-775-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554728",
            "telephone_number": "256-775-6041",
            "fax_number": "256-775-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC",
        "enumeration_date": "2010-09-29",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ALEISHA",
        "authorized_official_middle_name": "MULLINS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-775-6041",
        "authorized_official_credential": "CMF,CPOA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "15827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052115",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Cullman, AL
• Providers in Cullman, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.