Organization Active NPI

Hutto Limb and Brace, LLC

  • Prosthetic/Orthotic Supplier
  • Lagrange, GA
National Provider Identifier
1609811157
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HUTTO LIMB AND BRACE, LLC
Practice address
505 Jenkins St
Lagrange, GA 30240-4225
Phone
(706) 884-6114
Fax
(706) 884-6116
NPI assigned
Jun 18, 2006
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Mr. Edward Lamar Hutto Sr., CPO
Title
Certified Prosthetist/Orthotist
Phone
(706) 884-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X GA Primary

Addresses

Primary practice location

505 Jenkins St
Lagrange, GA 30240-4225

Mailing address

505 Jenkins St
Lagrange, GA 30240-4225
Phone (706) 884-6114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1609811157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JENKINS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404225",
            "telephone_number": "706-884-6114",
            "fax_number": "706-884-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JENKINS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404225",
            "telephone_number": "706-884-6114",
            "fax_number": "706-884-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTO LIMB AND BRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "706-884-6114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.