Timothy Ray Price, CPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

211-000025 Issued in IL

Practice address

815 N Larkin Ave
Suite 207
Joliet, IL 60435-3438

Phone

(815) 207-4200

Fax

(815) 207-4200

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1487851283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 CHURCH ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531618",
            "telephone_number": "847-470-1287",
            "fax_number": "847-470-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE",
            "address_2": "SUITE 207",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353438",
            "telephone_number": "815-207-4200",
            "fax_number": "815-207-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "IL",
            "license": "211-000025",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213-000028",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211-000025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XX-XXX1669",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Presence Hospitals PRV
• Presence Life Connections
• Melanie Presnak, SLP
• Prestigious Nurse Healthcare LLC
• Gregory D Price, D.O.
• Primary Care Physicans
• Primary Care Physicians of Joliet SC
• Primary Pharmacy Inc
• Prime Healthcare ASC - Joliet LLC
• Prime Healthcare Home Care and Hospice, LLC

• Prosthetics Case Management in Joliet, IL
• Providers in Joliet, IL by specialty
• Prosthetics Case Management in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.