Abilities Unlimited of Boulder, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ABILITIES UNLIMITED OF BOULDER, LLC

Practice address

1140 W South Boulder Rd
Suite 101
Lafayette, CO 80026-2854

Phone

(719) 231-4352

Fax

(719) 520-0218

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

William Teague, C.P.

Title

Member

Phone

(719) 520-9700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1194064741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S PARKSIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "719-520-9700",
            "fax_number": "719-520-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262854",
            "telephone_number": "719-231-4352",
            "fax_number": "719-520-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITIES UNLIMITED OF BOULDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-520-9700",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.