Michael Prumbs, LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PRO16 Issued in TN

Practice address

2408 Fort Henry Dr
Kingsport, TN 37664-3708

Phone

(423) 246-7272

Fax

(423) 246-2803

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Balance LLC

  • Prosthetic/Orthotic Supplier
  • Kingsport, TN
  • NPI 1104012319
  NPD (past)
• Pro Balance LLC

  • Physical Therapy Clinic/Center
  • Kingsport, TN
  • NPI 1700288974
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1649228230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643708",
            "telephone_number": "423-246-7272",
            "fax_number": "423-246-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643708",
            "telephone_number": "423-246-7272",
            "fax_number": "423-246-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUMBS",
        "first_name": "MICHAEL",
        "credential": "LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT16",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454327",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Rollins Probst, LMSW
• Ashley Galloway Proffitt
• Heather Proffitt
• Katie M Prosser, DO
• Gilgia Prumbs, PT
• David Matthew Pryputniewicz, MD
• Psychiatric Associates of Kingsport LLP
• Psychiatric Care of Kingsport PC
• PT Solutions LLC (PT Solutions of VA)
• Austin James Puchany, DO

• Prosthetist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Prosthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.