Organization Active NPI

Elevare Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Montgomery, AL
National Provider Identifier
1851242689
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ELEVARE PROSTHETICS LLC
Practice address
4171 Lomac St Ste F
Montgomery, AL 36106-2945
Phone
(334) 294-4235
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Kenyel BuyckNPI 1629929724
Title
Owner
Phone
(334) 294-4235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4171 Lomac St Ste F
Montgomery, AL 36106-2945

Mailing address

4171 Lomac St Ste F
Montgomery, AL 36106-2945

National Provider Directory

National Provider Directory

Locations

4171 Lomac St
Ste F
Montgomery, AL 36106
Phone (334) 267-7599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1851242689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST STE F",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST STE F",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945",
            "telephone_number": "334-294-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVARE PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BUYCK",
        "authorized_official_first_name": "KENYEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-294-4235"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.