Cobb Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP2633 Issued in MO

Legal business name

COBB PROSTHETICS LLC

Practice address

11229 Concord Village Ave
Saint Louis, MO 63123-6903

Phone

(314) 849-5462

Fax

(314) 849-1377

NPI assigned

May 28, 2009

Organization subpart

Yes

Parent organization

COBB PROSTHETICS LLCAs reported in NPPES

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

Authorized official

Name

Matthew Cobb, CP

Title

Owner/Certified Prosthetist

Phone

(573) 760-0520

Specialties & licenses 1

Addresses

Part of

Cobb Prosthetics LLC

Locations

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.

• Cobb Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Farmington, MO
  • NPI 1881794675
  NPPES parent name

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1982839403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11229 CONCORD VILLAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236903",
            "telephone_number": "314-849-5462",
            "fax_number": "314-849-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11229 CONCORD VILLAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236903",
            "telephone_number": "314-849-5462",
            "fax_number": "314-849-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB PROSTHETICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COBB PROSTHETICS LLC",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CERTIFIED PROSTHETIST",
        "authorized_official_telephone_number": "573-760-0520",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "CP2633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Maria Coates, LPC
• Adam Coats
• Andrew B Coats
• Michon Marie Coats, CRNA
• Sarah Coats, MD
• Mandy Cobb
• Melissa Kathryn Cobb, ATC
• Nathan Andrew Cobb, DO
• Sue A. Cobb, MA, LPC
• Susan S Cobb

• Prosthetic/Orthotic Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.