TIMOTHY RAY PRICE CPO NPI 1487851283

NPI Information

NPI: 1487851283
Provider Name: TIMOTHY RAY PRICE, CPO
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
815 N LARKIN AVE
SUITE 207
JOLIET, IL
ZIP 60435
Phone: (815) 207-4200
Get Directions

Timothy Ray Price, CPO is a prosthetics case management specialist in Joliet, IL. Timothy Ray Price, CPO NPI is 1487851283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

815 N LARKIN AVE
SUITE 207
JOLIET, IL
ZIP 60435-438
Phone: (815) 207-4200
Fax: (815) 207-4200

The enumeration date for this NPI number is 6/27/2007 and was last updated on 7/10/2008.

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
1	222Z00000X	Orthotist		213-000028	ILLINOIS	No
2	224P00000X	Prosthetist		211-000025	ILLINOIS	No
3	1744P3200X	Specialist	Prosthetics Case Management	211-000025	ILLINOIS	Yes

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
1	4699410002	MEDICARE NSC	ILLINOIS
2	XX-XXX1669	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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