Phenomenal Tresses LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PHENOMENAL TRESSES LLC

Practice address

1010 S Magnolia Dr
Tallahassee, FL 32301-4658

Phone

(850) 332-3434

Fax

(850) 806-1883

NPI assigned

Aug 17, 2022

Last updated

Sep 1, 2022By 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

Mrs. Thamar Williams

Title

Prosthetic Orthotic Provider

Phone

(850) 332-3434

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1376261255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MAGNOLIA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014658",
            "telephone_number": "850-332-3434",
            "fax_number": "850-806-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAGNOLIA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014658",
            "telephone_number": "850-332-3434",
            "fax_number": "850-806-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Pontiac Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323016638",
            "country_code": "US",
            "telephone_number": "850-332-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHENOMENAL TRESSES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THAMAR",
        "authorized_official_title_or_position": "PROSTHETIC ORTHOTIC PROVIDER",
        "authorized_official_telephone_number": "850-332-3434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8508061883",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "1010 S Magnolia Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323014658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.