Active NPI
Westcoast Brace & Limb
- Prosthetic/Orthotic Supplier
- Tampa, FL
National Provider Identifier
1194733758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WESTCOAST BRACE & LIMB
- Practice address
- 5311 E Fletcher Ave
Tampa, FL 33617-1147 - Phone
- (813) 985-5000
- Fax
- (813) 985-4499
- NPI assigned
- Aug 3, 2006
- 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
- Mrs. Sharon Dorr
- Title
- General Manager
- Phone
- (813) 985-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
5311 E Fletcher Ave
Tampa, FL 33617-1147
Mailing address
5311 E Fletcher Ave
Tampa, FL 33617-1147
Phone (813) 985-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031341600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056651 | FL | DME Supplier - Orthotic Personnel | 4284751785 |
1 other NPI on this enrollment Practice locations: Temple Terrace, FL |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| West Coast Brace & Limb | Neuromuscular Elect Stimulators (NMES)/Supplies|Traction Equipment|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Westcoast Brace and Lim
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Maitland, FL
- NPI 1013482546
-
- Prosthetic/Orthotic Supplier
- Palm Harbor, FL
- NPI 1124035746
-
- Prosthetic/Orthotic Supplier
- Lutz, FL
- NPI 1295582146
-
- Prosthetic/Orthotic Supplier
- St Petersburg, FL
- NPI 1538176169
-
- Prosthetic/Orthotic Supplier
- Tampa, FL
- NPI 1861400491
-
- Prosthetic/Orthotic Supplier
- Brandon, FL
- NPI 1972510501
Locations
5311 E Fletcher Ave
Temple Terrace, FL 33617
Phone (813) 985-5000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1194733758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171147",
"telephone_number": "813-985-5000",
"fax_number": "813-985-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171147",
"telephone_number": "813-985-5000",
"fax_number": "813-985-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCOAST BRACE & LIMB",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "DORR",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "813-985-5000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031341600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.