Active NPI
PA Artificial Limb & Brace Co., Inc..
- Prosthetic/Orthotic Supplier
- Greenville, PA
National Provider Identifier
1285934869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005681300001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.