PA Artificial Limb & Brace Co., Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LPO-294 Issued in OH

Legal business name

PA ARTIFICIAL LIMB & BRACE CO., INC

Doing business as

Artificial Limb & Brace of Ashtabula

Practice address

4859 N Ridge W
Ashtabula, OH 44004-9409

Phone

(440) 969-1144

Fax

(814) 868-5232

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Barbara A Cummings

Title

Secretary/Treasurer

Phone

(814) 868-5231

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Artificial Limb & Brace of Ashtabula Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• PA Artificial Limb & Brace Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Erie, PA
  • NPI 1992700389

  6002933249

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

PA Artificial Limb Brace Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• PA Artificial Limb & Brace Co., Inc

  • Prosthetic/Orthotic Supplier
  • Jamestown, NY
  • NPI 1003378217
  NPD tax ID
• PA Artificial Limb & Brace Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Erie, PA
  • NPI 1992700389
  NPD tax ID

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1760492672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081806",
            "telephone_number": "814-868-5231",
            "fax_number": "814-868-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 N RIDGE W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049409",
            "telephone_number": "440-969-1144",
            "fax_number": "814-868-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA ARTIFICIAL LIMB & BRACE CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "814-868-5231"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO-294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342212",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "287952",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8675613",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "219593",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000154842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artificial Limb & Brace of Ashtabula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsye Orth, CDCA
• Christy Osborne
• Joan Otto, PTA
• Outreach Professional Services Inc.
• Adam Dreslinski Oxley, LPN
• Karyn Leigh Pack, OT/L
• Barbara E Padgett, LISW
• Melissa Padilla, LPN
• Carrie Page, PA-C
• Kristen Pal, LISW

• Prosthetic/Orthotic Supplier in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.