Custom Artificial Limb and Brace, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CUSTOM ARTIFICIAL LIMB AND BRACE, INC.

Practice address

601 Wilmington Ave
New Castle, PA 16101-2142

Phone

(724) 654-3991

Fax

(724) 654-2447

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P Reagle, C.P.O.

Title

President

Phone

(724) 654-3991

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Custom Artificial Limb and Brace Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Custom Artificial Limb and Brace, Inc.

  • Prosthetic/Orthotic Supplier
  • Pleasant Hills, PA
  • NPI 1508586694
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Custom Artificial Limb and Brace, Inc.

  • Prosthetic/Orthotic Supplier
  • Pleasant Hills, PA
  • NPI 1508586694
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby Coles, CPO

  • Prosthetist
  • Pittsburgh, PA
  • NPI 1366787822

  Orthotist

  NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639130990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012142",
            "telephone_number": "724-654-3991",
            "fax_number": "724-654-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012142",
            "telephone_number": "724-654-3991",
            "fax_number": "724-654-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ARTIFICIAL LIMB AND BRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAGLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-654-3991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011888600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcos Guilherme Cunha Cruvinel, MD
• Heidi Cummings, RN
• Jessica Cupps, MS OTR/L
• Anissa Janine Curenton, MS
• Stacy Ann Currie, LPN
• Cwalina Dental Anesthesiology PC
• Taylor D'Urso
• Sarah Kathryn Dablah, MPAS, PA-C
• Lori L Dado, CRNP
• Jane Dambrogio, R.N.

• Prosthetic/Orthotic Supplier in New Castle, PA
• Providers in New Castle, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.