Active NPI
Tony Martin Limb and Brace, LLC
- Prosthetic/Orthotic Supplier
- Tucson, AZ
National Provider Identifier
1992754584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930067850 | AZ | DME Supplier - Orthotic Personnel | 3375746803 | Practice locations: Tucson, AZ |
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 |
|---|---|---|
| Tony Martin Limb & Brace LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.