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CLARKSVILLE LIMB & BRACE & REHAB. INC. NPI 1932104510


NPI Information

NPI: 1932104510
Provider Name: CLARKSVILLE LIMB & BRACE & REHAB., INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
980 PROFESSIONAL PARK DR
SUITE B
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 648-2155
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CLARKSVILLE LIMB & BRACE & REHAB., INC. is a prosthetic orthotic supplier in Clarksville, 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. CLARKSVILLE LIMB & BRACE & REHAB., INC. NPI is 1932104510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

980 PROFESSIONAL PARK DR
SUITE B
CLARKSVILLE, TN
ZIP 37040-539
Phone: (931) 648-2155
Fax: (931) 648-9673

The provider's authorized official is Sumesh Saxena .
The authorized official title is Owner Of Bionic and has the following contact phone number (219) 791-9200.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 3/2/2022.


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
11744P3200XSpecialistProsthetics Case ManagementNo
2335E00000XProsthetic/Orthotic SupplierYes

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
1000000070505OTHERTENNESSEEANTHEM
23563450MEDICAIDTENNESSEE
390262569MEDICAIDKENTUCKY
40144416OTHERTENNESSEEBLUECROSS BLUESHEILD

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

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