Leddy Brace & Shoe Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

000055 Issued in TX

Legal business name

LEDDY BRACE & SHOE INC

Practice address

932 N Treadaway Blvd
Abilene, TX 79601-4315

Phone

(325) 673-5281

Fax

(325) 673-5282

NPI assigned

Jul 26, 2005

Last updated

Jan 16, 2013By 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

Mr. Raymond Ardell Blasingame, CPED L.O.

Title

Orthotist President

Phone

(325) 673-5281

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1578563193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N TREADAWAY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014315",
            "telephone_number": "325-673-5281",
            "fax_number": "325-673-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N TREADAWAY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014315",
            "telephone_number": "325-673-5281",
            "fax_number": "325-673-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDDY BRACE & SHOE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ARDELL",
        "authorized_official_title_or_position": "ORTHOTIST PRESIDENT",
        "authorized_official_telephone_number": "325-673-5281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED  L.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010138801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "519252",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Le Lawson
• Robert L Lawson, MD
• LB Anesthesia, PLLC
• Megan Jae League
• Renee Leath
• Leddy Medical Supply, Inc
• James Zeno Leddy, RRTS
• Joshua Adam Leddy, PT, DPT
• Amree Dawn Lee
• Brandon Jason Lee Sr., CRNA

• Durable Medical Equipment & Medical Supplies in Abilene, TX
• Providers in Abilene, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.