Organization Active NPI

Tony Martin Limb and Brace, LLC

  • Prosthetic/Orthotic Supplier
  • Tucson, AZ
National Provider Identifier
1992754584
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TONY MARTIN LIMB AND BRACE, LLC
Practice address
5721 E 5TH St
Suite 1
Tucson, AZ 85711-2401
Phone
(520) 790-7755
Fax
(520) 790-7765
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mr. Tony Ed Martin, C.P.O.
Title
Owner
Phone
(520) 790-7755

Specialties & licenses 1

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

Addresses

Primary practice location

5721 E 5TH St
Suite 1
Tucson, AZ 85711-2401

Mailing address

5721 E 5TH St
Suite 1
Tucson, AZ 85711-2401
Phone (520) 790-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067850 AZ DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 3375746803 Practice locations: Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Tony Martin Limb & Brace LLC5721 E 5TH St, Tucson, AZ 85711-2401(520) 790-7755 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Apr 18, 2006

National Provider Directory

National Provider Directory

Locations

5721 E 5th St
Ste 1
Tucson, AZ 85711
Phone (520) 790-7755

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1992754584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 E 5TH ST",
            "address_2": "SUITE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112401",
            "telephone_number": "520-790-7755",
            "fax_number": "520-790-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 E 5TH ST",
            "address_2": "SUITE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112401",
            "telephone_number": "520-790-7755",
            "fax_number": "520-790-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY MARTIN LIMB AND BRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-790-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.

Verify at the official NPI Registry.