Organization Active NPI

Live Life Medical & Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Cookeville, TN
National Provider Identifier
1962771964
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIVE LIFE MEDICAL & ORTHOTICS
Practice address
229 E Broad St
Cookeville, TN 38501-3365
Phone
(931) 260-2842
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Brett Bottoms
Title
Owner
Phone
(931) 260-2842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

229 E Broad St
Cookeville, TN 38501-3365

Mailing address

229 E Broad St
Cookeville, TN 38501-3365

National Provider Directory

National Provider Directory

Locations

229 E Broad St
Cookeville, TN 38501
Phone (931) 260-2842

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1962771964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013365",
            "telephone_number": "931-260-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE MEDICAL & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "BOTTOMS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-260-2842"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.