BACK BRACE SUPPLY LLC


Address: 670 S White Station Rd, Memphis, TN 38117-4527
Phone: 9016192297

BACK BRACE SUPPLY LLC (NPI# 1225679277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225679277
Entity Type Organization
Organization Name BACK BRACE SUPPLY LLC
Practice Address 670 S White Station Rd
Memphis
TN 38117-4527
Practice Telephone 9016192297
Mailing Telephone 9016192297
Mailing Fax Number 9017632909
Enumeration Date 2019-10-01
Last Update Date 2020-11-05
Authorized Official Name DANA HUNTER PASCHAL (OWNER)
Authorized Official Telephone 9016192297
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 670 S WHITE STATION RD
City MEMPHIS
State TN
Zip Code 38117-4527

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154980639 Zup Medical Services, LLC Clinic/Center 4576 Poplar Avenue, Memphis, TN 38117 2019-06-10
1104386028 Faith Christie Leigh Roby Counselor 4646 Poplar Ave Ste 510, Memphis, TN 38117 2019-03-25
1023511300 Genita Lashonda Johnson-hammond Specialist 4565 Quince Rd, 1b, Memphis, TN 38117 2018-03-14
1023547494 Rivka R Braverman Licensed Practical Nurse 5050 Sanderlin Avenue, Memphis, TN 38117 2017-06-08
1285002451 Shauna Lomax Physical Therapy Assistant 258 Leonora Dr, Memphis, TN 38117 2015-09-04
1255735569 Caring Hearts of The Mid South In Home Supportive Care 4646 Poplar, Suite 213b, Memphis, TN 38117 2014-10-15
1063821296 Tomasz A Charowski Dentist 670 Colonial Rd Ste 3, Memphis, TN 38117 2014-08-13
1255760385 Tennessee Dental Professionals PC Dentist 370 Colonial Road, 3, Memphis, TN 38117 2013-11-08
1447692264 Dory Sellers Dentist 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 2013-07-22
1366791808 Amirio Jonte Armour Pharmacist 1760 Moriah Woods, Suite 2, Memphis, TN 38117 2012-08-30
Find all providers in zip 38117

Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487962726 Gary Kent Weaver Jr. Orthotic Fitter 348 Trane Dr, Knoxville, TN 37919-6052 2010-09-21
1609075621 Bobijo Murphy Orthotic Fitter 1238 Nw Broad St, Murfreesboro, TN 37129-1713 2007-07-11
1548305501 Norma Jean Johnson Orthotic Fitter 140 Lake Dr., Tiptonville, TN 38079-1359 2007-02-20
1598797045 Breast Prostheses & Orthotics Inc Orthotic Fitter 1850 Edgemont Ave, Bristol, TN 37620-4309 2006-07-07
1336148808 Diana Lynn Montgomery Orthotic Fitter 60 Long Ave, Parsons, TN 38363-2429 2005-07-18
1942780580 Matthew D Stimson Orthotic Fitter 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 2018-08-14
1073815999 Wendy D Eaton Orthotic Fitter 2150 N Ocoee St, Cleveland, TN 37311-3936 2010-11-29
1821274713 Penny G Handmacher Orthotic Fitter 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 2008-01-10
1942498712 Scott Moore Orthotic Fitter 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 2007-10-05

Competitor

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City MEMPHIS
Zip Code 38117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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