Keltic Limb and Brace, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

211000293 Issued in IL

Legal business name

KELTIC LIMB AND BRACE, INC.

Practice address

1316 Black Rd
Joliet, IL 60435-3962

Phone

(661) 422-7223

Fax

(661) 422-3772

NPI assigned

Mar 20, 2016

Last updated

Mar 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Erik J Lindholm, CPO, LPO, ATCNPI 1306065958

Title

President

Phone

(661) 422-7223

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik James Lindholm, CPO, LPO, ATC

  • Prosthetist
  • Joliet, IL
  • NPI 1306065958
  Authorized official Same address or phone

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458432000000",
    "number": "1255792180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 BLACK RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353962",
            "telephone_number": "661-422-7223",
            "fax_number": "661-422-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 BLACK RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353962",
            "telephone_number": "661-422-7223",
            "fax_number": "661-422-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELTIC LIMB AND BRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-03-20",
        "status": "A",
        "authorized_official_last_name": "LINDHOLM",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-422-7223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO, ATC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "211000293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Keener, PA C
• Jennifer Lynn Keiss, M.A.
• Judy Kelly, LCSW
• Megan Kelly
• Patricia A Kelly, MSW
• Danielle Kendall, MSN, APRN, PMHNP
• Terri L. Kennedy, FNP
• Cayla Kenney, LSW
• Ashley Kerestes
• Rebecca Jane Frances Kerwin, BA, MHP

• Prosthetic/Orthotic Supplier in Joliet, IL
• Providers in Joliet, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; 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.