NPIMap

Organization Active NPI

Tennessee Limb and Brace LLC

  • Prosthetic/Orthotic Supplier
  • Crossville, TN
National Provider Identifier
1972336667
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TENNESSEE LIMB AND BRACE LLC
Practice address
41 Birchwood Lane
Crossville, TN 38555
Phone
(931) 854-9455
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESSEE LIMB AND BRACE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Barry Dee Davidson, CPNPI 1740550284
Title
Owner
Phone
(931) 854-9455

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 NU Primary

Addresses

Primary practice location

41 Birchwood Lane
Crossville, TN 38555

Mailing address

735 W. Jackson St
Cookeville, TN 38501
Phone (931) 854-9455

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Limb and Brace LLC2 organizations share this tax ID, including this one
Part of
Tennessee Limb and Brace LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1972336667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W. JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-854-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BIRCHWOOD LANE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-854-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE LIMB AND BRACE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE LIMB AND BRACE LLC",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-854-9455",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.