ACTIVE BRACE AND LIMB (NPI# 1659490860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659490860 |
| Entity Type | Organization |
| Organization Name | ACTIVE BRACE AND LIMB |
| Practice Address |
215 S Cedar Street Kalkaska MI 49646 |
| Mailing Address |
5222 N Royal Dr Traverse City MI 49684-6883 |
| Practice Telephone | 2312588481 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT SCOTT MOSHER (ORTHOTIST) |
| Authorized Official Telephone | 2312588481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ACTIVE BRACE AND LIMB, LLC | 5123 N Royal Dr, Traverse City, MI 49684-9201 |
| Street Address |
215 S CEDAR STREET |
| City | KALKASKA |
| State | MI |
| Zip Code | 49646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245737915 | Leanne Berry | Physical Therapist | 409 S. Coral, Kalkaska, MI 49646 | 2018-04-10 |
| 1770030488 | Duane Allen | Pharmacist | 784 South Cedar St Ste E, Kalkaska, MI 49646 | 2016-09-10 |
| 1831524040 | Stephanie Marie Murden | Homemaker | 5031 Wagenschutz Rd., Kalkaska, MI 49646 | 2013-09-06 |
| 1508202615 | Dynamic Hearing Care Systems LLC. | Hearing Instrument Specialist | 303 N. Cedar St., Kalkaska, MI 49646 | 2013-05-15 |
| 1063722965 | Robin Lee Nelson | Massage Therapist | 110 W. Fourth St., Kalkaska, MI 49646 | 2010-10-14 |
| 1578886057 | Your Community Above and Beyond Home Health Care | In Home Supportive Care | 303 Cedar Street, Kalkaska, MI 49646 | 2010-03-11 |
| 1891980306 | Kalkaska Memorial Health Center | Clinic/Center | 415 2nd St., Kalkaska, MI 49646 | 2007-09-07 |
| 1114121001 | Kalkaska Chiropractic Center | Chiropractor | 224 S Cedar St, Kalkaska, MI 49646 | 2007-06-13 |
| 1205849882 | Robert E Molter Jr. | Optometrist | 882 M 72 Nw, Kalkaska, MI 49646 | 2006-08-14 |
| 1154365815 | Lauren Elizabeth Skarnulis | Optometrist | 882 M-72 West, Kalkaska, MI 49646 | 2006-06-15 |
| Find all providers in zip 49646 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528512399 | Kmi Medical, Inc | Prosthetic/Orthotic Supplier | 806 N Cedar St Ste B, Kalkaska, MI 49646-8331 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.