Walk Easy LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

0825 Issued in MO

Legal business name

WALK EASY LLC

Practice address

4810 Rainbow Dr.
Jefferson City, MO 65109

Phone

(573) 636-7382

Fax

(573) 636-3262

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony B Charles, CERTIFIED PEDORTHIST

Title

Owner

Phone

(573) 636-7382

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1356522916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 RAINBOW DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096202",
            "telephone_number": "573-636-7382",
            "fax_number": "573-636-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 RAINBOW DR.",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-636-7382",
            "fax_number": "573-636-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK EASY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-636-7382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "CERTIFIED PED 0825",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "0825",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "0825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626086201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreens
• Skylar Danae Walk, OTD
• Jaime L Walker, AU.D.
• Melanie Ann Walker, LPC
• Riley L Walker, MS, LAT, ATC
• Kristine Wall, NP

• Prosthetic/Orthotic Supplier in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.