865 PROSTHETICS LLC NPI 1396556114

NPI Information

  • NPI: 1396556114
  • Provider Name: 865 PROSTHETICS, LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 5416 S MIDDLEBROOK PIKE STE A
    KNOXVILLE, TN
    ZIP 37921
  • Phone: (865) 484-4134

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NPI Details

865 PROSTHETICS, LLC is a prosthetic orthotic supplier in Knoxville, TN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. 865 PROSTHETICS, LLC NPI is 1396556114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5416 S MIDDLEBROOK PIKE STE A
KNOXVILLE, TN
ZIP 37921-980
Phone: (865) 484-4134
Fax: (865) 622-5254

The provider's authorized official is Jason L Hayden .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (865) 484-4134.

The enumeration date for this NPI number is 1/20/2025 and was last updated on 7/21/2025.

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
1224P00000XProsthetistNo
2335E00000XProsthetic/Orthotic SupplierYes

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: 11/21/2025

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