Morristown Orthotics & Prosthetics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

CP 2127 CO 1603 Issued in TN

Legal business name

MORRISTOWN ORTHOTICS & PROSTHETICS LLC

Practice address

1457 W Morris Blvd
Morristown, TN 37813-2828

Phone

(423) 586-4455

Fax

(423) 586-8181

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Terry M Parsons, COF

Title

Owner/Manager

Phone

(423) 586-4455

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MORRISTOWN ORTHOTICS & PROSTHETICS LLC Other name

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1740451178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-586-4455",
            "fax_number": "423-586-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-586-4455",
            "fax_number": "423-586-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "423-586-4455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TN",
            "license": "CP 2127    CO 1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452176",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "173406",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "173406",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENN CARE SELECT",
            "identifier": "173406",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORRISTOWN ORTHOTICS & PROSTHETICS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Morristown-Hamblen Homecare and Hospice, LLC (University of TN Medical Center Home Health Services)
• Morristown-Hamblen Homecare and Hospice, LLC (University of TN Medical Center Hospice Services)

• Multi-Specialty Clinic/Center in Morristown, TN
• Providers in Morristown, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.