WALK EASY LLC


Address: 4810 Rainbow Dr., Jefferson City, MO 65109
Phone: 5736367382

WALK EASY LLC (NPI# 1356522916) 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) 1356522916
Entity Type Organization
Organization Name WALK EASY LLC
Practice Address 4810 Rainbow Dr.
Jefferson City
MO 65109
Mailing Address 4810 Rainbow Dr
Jefferson City
MO 65109-6202
Practice Telephone 5736367382
Practice Fax Number 5736363262
Mailing Telephone 5736367382
Mailing Fax Number 5736363262
Enumeration Date 2007-11-23
Last Update Date 2016-12-12
Authorized Official Name MR. ANTHONY B CHARLES (OWNER)
Authorized Official Telephone 5736367382
Authorized Official Credential CERTIFIED PEDORT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies CERTIFIED PED 08 MO Suppliers
N 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
0825 MO Suppliers
Y 335E00000X Prosthetic/Orthotic Supplier 0825 MO Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MO 626086201 05

Office Location

Street Address 4810 RAINBOW DR.
City JEFFERSON CITY
State MO
Zip Code 65109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1467647222 Mae Mildred Benson Massage Therapist 2705 D Industrial Drive, Jefferson City, MO 65109 2007-09-13
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] 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 city

NPI Name Taxonomy Address Enumeration
1255685970 Mid America Prosthetic Center, LLC. Prosthetic/Orthotic Supplier 1001 Southwest Blvd, Suite E, Jefferson City, MO 65109-2501 2012-11-02
1740265495 Mid-missouri Orthotics & Prosthetics Prosthetic/Orthotic Supplier 3559 Amazonas Dr, Jefferson City, MO 65109-5717 2005-12-14
1366622771 Columbia O & P Labs Prosthetic/Orthotic Supplier 1735 Southwest Blvd, Jefferson City, MO 65109-2435 2007-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355689 Hair On The Edge Prosthetic/Orthotic Supplier 9708 Lackland Rd, Overland, MO 63114-3414 2020-10-28
1427656727 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 2020-10-09
1437783776 Mager & Gougelman of St. Louis, LLC Prosthetic/Orthotic Supplier 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 2020-02-25
1962042440 Fourroux Prosthetics, Inc Prosthetic/Orthotic Supplier 9665 Page Avenue, Overland, MO 63132 2020-01-13
1407496201 Ortheco LLC Prosthetic/Orthotic Supplier 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 2020-01-09
1477100717 Desirae Clark Prosthetic/Orthotic Supplier 5100 Lydia Ave, Kansas City, MO 64110-2608 2019-08-21
1720540313 Axes Physical Therapy, LLC Prosthetic/Orthotic Supplier 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 2019-04-02
1093272460 Axes Physical Therapy I, LLC Prosthetic/Orthotic Supplier 2018 Phoenix Center Dr, Washington, MO 63090-5544 2019-02-21
1215400312 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 4801 Main St Ste 220, Kansas City, MO 64112-2929 2019-01-10
1649778382 Boston Brace International Inc. Prosthetic/Orthotic Supplier 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 2018-01-29
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Competitor

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City JEFFERSON CITY
Zip Code 65109

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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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