Active NPI
Lubbock Artificial Limb & Brace LTD
- Prosthetic/Orthotic Supplier
- Lubbock, TX
National Provider Identifier
1972505147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LUBBOCK ARTIFICIAL LIMB & BRACE LTD
- Practice address
- 7619 University Ave
Lubbock, TX 79423-2125 - Phone
- (806) 799-1518
- Fax
- (806) 799-5462
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Phillips
- Title
- Partner / Cfo
- Phone
- (806) 799-1518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
7619 University Ave
Lubbock, TX 79423-2125
Mailing address
7619 University Ave
Lubbock, TX 79423-2125
Phone (806) 799-1518
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145567701 | Medicaid | TX | |
| 100386640A | Medicaid | KS | |
| T6061 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930021349 | TX | DME Supplier - Prosthetic Personnel | 0446362867 | Practice locations: Lubbock, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lubbock Artificial Limb & Brace LTD | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
7619 University Ave
Lubbock, TX 79423
Phone (806) 799-1516
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Lubbock, TX
- NPI 1669739702
-
- Prosthetist
- Lubbock, TX
- NPI 1134486277
-
- Prosthetist
- Lubbock, TX
- NPI 1710244850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1972505147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7619 UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232125",
"telephone_number": "806-799-1518",
"fax_number": "806-799-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7619 UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232125",
"telephone_number": "806-799-1518",
"fax_number": "806-799-5462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBBOCK ARTIFICIAL LIMB & BRACE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "PARTNER / CFO",
"authorized_official_telephone_number": "806-799-1518"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145567701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100386640A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T6061",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Lubbock Accident & Injury
- Lubbock Acute Care Center LLC
- Lubbock Advanced Digital Imaging, Inc.
- Lubbock Advanced Physical Medicine PLLC
- Lubbock Anesthesia Services LLC
- Lubbock Assisted Living Limited Partnership
- Lubbock Better Sleep Solutions, PLLC
- Lubbock Cardiology Clinic, PA
- Lubbock Cardiology Specialists, PA
- Lubbock Caregiving Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.