Provider Type Icon

PETERMAN ORTHOTICS & PROSTHETICS LLC NPI 1568496479


NPI Information

NPI: 1568496479
Provider Name: PETERMAN ORTHOTICS & PROSTHETICS LLC

Doing Business As: ADVANCED LIMB & BRACE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2648 34TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 783-8388
Get Directions

PETERMAN ORTHOTICS & PROSTHETICS LLC is a prosthetic orthotic supplier in Lubbock, TX. 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. PETERMAN ORTHOTICS & PROSTHETICS LLC NPI is 1568496479. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Limb & Brace.

The provider's business location address is:

2648 34TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 783-8388
Fax: (806) 783-8956

The provider's authorized official is Karen G Kemp .
The authorized official title is Office Manager and has the following contact phone number (806) 351-1775.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier588TEXASYes
2335E00000XProsthetic/Orthotic Supplier591TEXASNo
3335E00000XProsthetic/Orthotic Supplier404TEXASNo
4335E00000XProsthetic/Orthotic Supplier215TEXASNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1174985503MEDICAIDTEXAS

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

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.