Organization Active NPI

Advanced Biomechanical Concepts PLLC

Doing business as ABC Orthotics

  • Prosthetic/Orthotic Supplier
  • Louisville, KY
National Provider Identifier
1578863254
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO004117 Issued in KY
Legal business name
ADVANCED BIOMECHANICAL CONCEPTS PLLC
Doing business as
ABC Orthotics
Practice address
11872 Capital Way
Louisville, KY 40299-6332
Phone
(502) 261-1488
Fax
(502) 261-1470
NPI assigned
Oct 27, 2010
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Becky Foster
Title
Manager
Phone
(502) 261-1488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO004117 KY Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

11872 Capital Way
Louisville, KY 40299-6332

Mailing address

11872 Capital Way
Louisville, KY 40299-6332
Phone (502) 261-1488

Other identifiers 2

IdentifierTypeStateIssuer
1689798522OtherKYANTHEM
90008012MedicaidKY

Other names 1

  • ABC Orthotics Doing business as

National Provider Directory

National Provider Directory

Locations

11872 Capital Way
Louisville, KY 40299
Phone (502) 261-1488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1578863254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11872 CAPITAL WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996332",
            "telephone_number": "502-261-1488",
            "fax_number": "502-261-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11872 CAPITAL WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996332",
            "telephone_number": "502-261-1488",
            "fax_number": "502-261-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BIOMECHANICAL CONCEPTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-261-1488"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "CO004117",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1689798522",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90008012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.