PETERMAN ORTHOTICS & PROSTHETICS LLC NPI 1568496479

NPI Information

  • NPI: 1568496479
  • Provider Name: PETERMAN ORTHOTICS & PROSTHETICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED LIMB & BRACE
  • Address: 2648 34TH ST
    LUBBOCK, TX
    ZIP 79410
  • Phone: (806) 783-8388

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NPI Details

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 79410-520
Phone: (806) 783-8388
Fax: (806) 783-8956

The provider's authorized official is Grace Angeline .
The authorized official title is Provider Contract Analyst Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/31/2024.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic Supplier588TEXASYes
3335E00000XProsthetic/Orthotic Supplier215TEXASNo
4335E00000XProsthetic/Orthotic Supplier404TEXASNo
5335E00000XProsthetic/Orthotic Supplier591TEXASNo

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
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: 3/30/2025

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