Tom Reis Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP-1182 Issued in IA

Legal business name

TOM REIS PROSTHETICS LLC

Practice address

5460 Merle Hay Rd Ste C
Johnston, IA 50131-1239

Phone

(515) 254-0244

Fax

(515) 254-0309

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas W. Reis, C.P.NPI 1063432029

Title

Owner

Phone

(515) 254-0244

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Wesley Reis, C.P.

  • Specialist
  • Johnston, IA
  • NPI 1063432029
  NPD (past) Authorized official

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1376726158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 MERLE HAY RD STE C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311239",
            "telephone_number": "515-254-0244",
            "fax_number": "515-254-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 MERLE HAY RD STE C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311239",
            "telephone_number": "515-254-0244",
            "fax_number": "515-254-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM REIS PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-254-0244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IA",
            "license": "CP-1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "20927",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198226",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theramind
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• Nichole Thomson, LMSW
• Thrive Spectrum LLC
• Michael Stephen Tiffany, DC
• Tara Tonabane, OTR/L
• Trisha Tonelli, LMHC
• David Thomas Tornabane, OTR/L
• Margaret Townsend, BCBA
• Jaclyn Lauren Trannel, OTR/L

• Prosthetic/Orthotic Supplier in Johnston, IA
• Providers in Johnston, IA by specialty
• Prosthetic/Orthotic Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.