NEW LIFE PROSTHETICS CORPORATION NPI 1427231612

NPI Information

  • NPI: 1427231612
  • Provider Name: NEW LIFE PROSTHETICS CORPORATION
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 87 NELMS RD
    GRAYSVILLE, TN
    ZIP 37338
  • Phone: (423) 949-8620

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NPI Details

NEW LIFE PROSTHETICS CORPORATION is a prosthetic orthotic supplier in Graysville, 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. NEW LIFE PROSTHETICS CORPORATION NPI is 1427231612. The provider is registered as an organization entity type.

The provider's business location address is:

87 NELMS RD
GRAYSVILLE, TN
ZIP 37338-632
Phone: (423) 949-8620
Fax: (423) 949-9217

The provider's authorized official is Roger Terry Cook .
The authorized official title is Certified Prosthetist/owner and has the following contact phone number (423) 949-8620.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 8/25/2008.

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
1335E00000XProsthetic/Orthotic SupplierPRO0000000083TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14067689OTHERTENNESSEEBLUE CROSS BLUE SHIELD TN
2TN0100OTHERTENNESSEEAMERICHOICE/TENNCARE
34735420001MEDICARE NSCTENNESSEE
41454290MEDICAIDTENNESSEE
5198356168AMEDICAIDGEORGIA

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: 3/30/2025

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