Organization Active NPI

Lowry Medical Supply

  • Prosthetic/Orthotic Supplier
  • Tullahoma, TN
National Provider Identifier
1700226016
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
135100 Issued in TN
Legal business name
LOWRY MEDICAL SUPPLY
Doing business as
Orthotic Solutions
Practice address
203 E Grundy St
Tullahoma, TN 37388-3621
Phone
(615) 876-6606
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Mr. Richard Lowry, CFO
Title
President/Owner
Phone
(615) 331-0036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 135100 TN
Prosthetic/Orthotic Supplier 335E00000X 135100 TN Primary

Addresses

Primary practice location

203 E Grundy St
Tullahoma, TN 37388-3621

Mailing address

PO Box 2412
Brentwood, TN 37024-2412
Phone (615) 331-0036

Other identifiers 4

IdentifierTypeStateIssuer
166393600OtherDEPARTMENT OF LABOR
3562020MedicaidTN
4112378OtherTNBLUE CROSS BLUE SHIELD
4112378OtherTENNCARE SELECT

Other names 1

  • Orthotic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

203 E Grundy St
Tullahoma, TN 37388
Phone (615) 876-6606

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1700226016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2412",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242412",
            "telephone_number": "615-331-0036",
            "fax_number": "615-833-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E GRUNDY ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883621",
            "telephone_number": "615-876-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWRY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "615-331-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "135100",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "135100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "166393600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562020",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4112378",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4112378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.