Organization Active NPI

PA Artificial Limb & Brace Co., Inc..

  • Prosthetic/Orthotic Supplier
  • Greenville, PA
National Provider Identifier
1285934869
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PA ARTIFICIAL LIMB & BRACE CO., INC..
Practice address
111 N Main St
Greenville, PA 16125-1705
Phone
(724) 588-6860
Fax
(814) 868-5232
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Mr. William C Cummings, C.P.O.
Title
Owner
Phone
(724) 588-6860

Specialties & licenses 1

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

Addresses

Primary practice location

111 N Main St
Greenville, PA 16125-1705

Mailing address

224 W 26TH St
Erie, PA 16508-1806
Phone (814) 868-5231

Other identifiers 1

IdentifierTypeStateIssuer
0005681300001MedicaidPA

National Provider Directory

National Provider Directory

Locations

4859 N Ridge W
Ashtabula, OH 44004
Phone (440) 969-1144

5530 Peach St
Erie, PA 16509
Phone (814) 868-5231

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1285934869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081806",
            "telephone_number": "814-868-5231",
            "fax_number": "814-868-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251705",
            "telephone_number": "724-588-6860",
            "fax_number": "814-868-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA ARTIFICIAL LIMB & BRACE CO., INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-588-6860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005681300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.