Active NPI
Lowry Medical Supply
- Prosthetic/Orthotic Supplier
- Tullahoma, TN
National Provider Identifier
1700226016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 135100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166393600 | Other | DEPARTMENT OF LABOR | |
| 3562020 | Medicaid | TN | |
| 4112378 | Other | TN | BLUE CROSS BLUE SHIELD |
| 4112378 | Other | TENNCARE SELECT |
Other names 1
- Orthotic Solutions
National Provider Directory
National Provider DirectoryLocations
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.