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PRIMPED 365 LLC NPI 1275311417


NPI Information

NPI: 1275311417
Provider Name: PRIMPED 365 LLC
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
782 NEW RIVER ROAD
SUITE 716
CHRISTIANSBURG, VA
ZIP 24073
Phone: (540) 449-5753
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PRIMPED 365 LLC is a prosthetist in Christiansburg, VA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. PRIMPED 365 LLC NPI is 1275311417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

782 NEW RIVER ROAD
SUITE 716
CHRISTIANSBURG, VA
ZIP 24073
Phone: (540) 449-5753
Fax: (540) 253-8014

The provider's authorized official is Jeneen French Wilson .
The authorized official title is Owner and has the following contact phone number (540) 449-5753.

The enumeration date for this NPI number is 9/19/2023 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225000000XOrthotic FitterNo
2335E00000XProsthetic/Orthotic SupplierNo
3224P00000XProsthetistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.