Active Brace and Limb LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ACTIVE BRACE AND LIMB LLC

Practice address

7800 US 131 S
Suite B
Cadillac, MI 49601-7080

Phone

(231) 775-3577

Fax

(231) 775-3578

NPI assigned

Jul 15, 2009

Last updated

Dec 18, 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

Robert Scott Mosher, CO

Title

Orthotist/Co Owner

Phone

(231) 932-8702

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Active Brace and Limb LLC

  • Prosthetic/Orthotic Supplier
  • Traverse City, MI
  • NPI 1033162524

  7416169222

  Same PAC ID
• Active Brace and Limb LLC

  • Prosthetic/Orthotic Supplier
  • Petoskey, MI
  • NPI 1700937836

  7416169222

  Same PAC ID

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1609006477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849201",
            "telephone_number": "231-932-8702",
            "fax_number": "231-932-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 US 131 S",
            "address_2": "SUITE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496017080",
            "telephone_number": "231-775-3577",
            "fax_number": "231-775-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE BRACE AND LIMB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ORTHOTIST/CO OWNER",
        "authorized_official_telephone_number": "231-932-8702",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Paul Abend
• Crystal Abranski
• Jessica Ackerson
• Cindy Ackley, L.L.P.C.
• David H Adams, PA
• Madeline Adams, FNP
• Elizabeth Hansen Adamson, M.D.
• Advance Pathology Services P.C.
• Advance Pathology Services, P.C.

• Prosthetic/Orthotic Supplier in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.