Jack R Steele, CERTIFIED ORTHOTIST

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

110005528 Issued in TN

Practice address

6655 Quince Rd
Suite 124
Memphis, TN 38119-8037

Phone

(901) 757-5461

NPI assigned

Dec 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1477855922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD",
            "address_2": "SUITE 124",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198037",
            "telephone_number": "901-757-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD",
            "address_2": "SUITE 124",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198037",
            "telephone_number": "901-757-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "JACK",
        "middle_name": "R",
        "credential": "CERTIFIED ORTHOTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "110005528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen J Stecker, MD
• Scott A Steel, OD
• Brennan Steele, LPC-MHSP (TEMP)
• Cynthia Jones Steele, PT
• Glen T Steele, OD
• Kathryn Elizabeth Steele, RN, APN
• Kristi Anne Steele, M.S., CCC-SLP
• Lauren Steele, MS,RD, LDN
• Rachael Anne Malone Steele
• Sarah Covington Steele, MD

• Prosthetic/Orthotic Supplier in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; 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.