Jared M Lewis

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ORF 134 Issued in FL

Legal business name

JARED M LEWIS

Practice address

906 Dixon Blvd
Cocoa, FL 32922-6890

Phone

(321) 632-1116

Fax

(321) 632-4994

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jared Mathias Lewis, ORTHOTIC FITTER

Title

Owner/ President

Phone

(321) 632-1116

Specialties & licenses 1

Addresses

Other names 1

• J & M Bracing Doing business as

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720045768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226890",
            "telephone_number": "321-632-1116",
            "fax_number": "321-632-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226890",
            "telephone_number": "321-632-1116",
            "fax_number": "321-632-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED M LEWIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "321-632-1116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORTHOTIC FITTER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORF 134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & M Bracing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Jahnke
• Tarun Jain, MD
• Alyssa Jameer, MS
• Vincent Rockwell James, PA-C
• Irwin Jaraplasan, DMD
• Davalynn Jarema
• Charlene Jarvis
• Suzanne P. Jasper-Demarco, BCABA
• Aimee R Jernick
• John G Carey MD PA

• Prosthetic/Orthotic Supplier in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.