Active NPI
Mbrace Hand Therapy LLC
- Prosthetic/Orthotic Supplier
- Phoenix, AZ
National Provider Identifier
1639760069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MBRACE HAND THERAPY LLC
- Practice address
- 4643 N 12TH St Ste 101
Phoenix, AZ 85014-4083 - Phone
- (602) 641-4263
- Fax
- (602) 641-4262
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meghan Leonard
- Title
- Owner
- Phone
- (503) 317-4367
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4643 N 12TH St Ste 101
Phoenix, AZ 85014-4083
Mailing address
PO Box 47413
Phoenix, AZ 85068-7413
Phone (602) 641-4263
Other names 1
- MBrace Hand Therapy LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1639760069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47413",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850687413",
"telephone_number": "602-641-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4643 N 12TH ST STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850144083",
"telephone_number": "602-641-4263",
"fax_number": "602-641-4262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBRACE HAND THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-317-4367"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MBrace Hand Therapy LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.