Organization Active NPI

Superior Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Nashville, TN
National Provider Identifier
1700014735
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUPERIOR ORTHOTICS & PROSTHETICS, LLC
Practice address
1823 Charlotte Ave
Nashville, TN 37203-2104
Phone
(615) 340-0068
Fax
(615) 340-0028
NPI assigned
Jun 29, 2009
Organization subpart
Yes
Parent organization
SUPERIOR O & P, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Robert N Pittman, CPO
Title
President
Phone
(615) 364-5802

Specialties & licenses 1

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

Addresses

Primary practice location

1823 Charlotte Ave
Nashville, TN 37203-2104

Mailing address

1823 Charlotte Ave
Nashville, TN 37203-2104
Phone (615) 340-0068

National Provider Directory

National Provider Directory
Part of
Superior O P LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1050 N James M Campbell Blvd
Ste 140
Columbia, TN 38401
Phone (931) 388-0801

4230 Harding Pike
Ste 203
Nashville, TN 37205
Phone (615) 298-9260

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1700014735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032104",
            "telephone_number": "615-340-0068",
            "fax_number": "615-340-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032104",
            "telephone_number": "615-340-0068",
            "fax_number": "615-340-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR O & P, LLC",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-364-5802",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.