Organization Active NPI

Sound Limbs Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Freeport, ME
National Provider Identifier
1750656039
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOUND LIMBS ORTHOTICS, INC
Doing business as
Sound Limbs Orthotics & Prosthetics
Practice address
45 Mallett Dr Suite 102
Freeport, ME 04032-1312
Phone
(207) 865-6060
Fax
(207) 865-6061
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mrs. Elizabeth A.M. Park
Title
Co-Owner
Phone
(207) 784-4345

Specialties & licenses 1

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

Addresses

Primary practice location

45 Mallett Dr Suite 102
Freeport, ME 04032-1312

Mailing address

39 S Lisbon Rd
Lewiston, ME 04240-1404
Phone (207) 784-4345

Other identifiers 1

IdentifierTypeStateIssuer
126940000MedicaidME

Other names 1

  • Sound Limbs Orthotics & Prosthetics Doing business as

National Provider Directory

National Provider Directory

Locations

45 Mallett Dr
Ste 102
Freeport, ME 04032
Phone (207) 865-6060

39 S Lisbon Rd
Lewiston, ME 04240
Phone (207) 784-4345

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1750656039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S LISBON RD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401404",
            "telephone_number": "207-784-4345",
            "fax_number": "207-783-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MALLETT DR SUITE 102",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321312",
            "telephone_number": "207-865-6060",
            "fax_number": "207-865-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND LIMBS ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.M.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "207-784-4345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126940000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Limbs Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.