Organization Active NPI

Falls City Limb & Brace Co, Inc

Doing business as Louisville Prosthetics

  • Prosthetic/Orthotic Supplier
  • Louisville, KY
National Provider Identifier
1700162526
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
NA
Legal business name
FALLS CITY LIMB & BRACE CO, INC
Doing business as
Louisville Prosthetics
Practice address
1404 Browns LN
Suite C
Louisville, KY 40207-4655
Phone
(502) 895-8050
Fax
(502) 895-8056
NPI assigned
Oct 25, 2011
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Mr. Robert Wayne Luckett, CP, CPED
Title
Operations Manager, Cert. Prostheti
Phone
(502) 584-2959

Specialties & licenses 1

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

Addresses

Primary practice location

1404 Browns LN
Suite C
Louisville, KY 40207-4655

Mailing address

1404 Browns LN
Suite C
Louisville, KY 40207-4655
Phone (502) 895-8050

Other identifiers 3

IdentifierTypeStateIssuer
100000700AMedicaidIN
90130568MedicaidKY
000000066275OtherANTHEM BC/BS

Other names 1

  • Louisville Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130110000604 KY DME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 9133245830 Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Louisville Prosthetics1404 Browns LN, Louisville, KY 40207-4655(502) 895-8050 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Falls City Limb Brace Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1404 Browns Ln
Ste C
Louisville, KY 40207
Phone (502) 895-8050

742 E Broadway
Louisville, KY 40202
Phone (502) 584-2959

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1700162526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BROWNS LN",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074655",
            "telephone_number": "502-895-8050",
            "fax_number": "502-895-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BROWNS LN",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074655",
            "telephone_number": "502-895-8050",
            "fax_number": "502-895-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS CITY LIMB & BRACE CO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER, CERT. PROSTHETI",
        "authorized_official_telephone_number": "502-584-2959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000700A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90130568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000066275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.