CLARKSVILLE LIMB & BRACE & REHAB., INC. (NPI# 1932104510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932104510 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE LIMB & BRACE & REHAB., INC. |
| Practice Address |
980 Professional Park Dr Suite B Clarksville TN 37040-4539 |
| Mailing Address |
1816 Memorial Cir Clarksville TN 37043-4539 |
| Practice Telephone | 9316482155 |
| Practice Fax Number | 9316489673 |
| Mailing Telephone | 9316482155 |
| Mailing Fax Number | 9316474952 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2010-05-13 |
| Authorized Official Name | MS. JUDY LYNN FARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9316482155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3563450 | 05 | |
| TN | BLUECROSS BLUESHEILD | 0144416 | 01 |
| TN | ANTHEM | 000000070505 | 01 |
| KY | 90262569 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932801 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 230 S Franklin St, Russellville, KY 42276-1937 | 2005-06-20 |
| 1700881307 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 4288 N Jackson Hwy, Glasgow, KY 42141-9020 | 2005-06-20 |
| 1275538860 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 165 Natchez Trace, Ste. 202, Bowling Green, KY 42103 | 2005-06-20 |
| Street Address |
980 PROFESSIONAL PARK DR SUITE B |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879782 | Kristina Renae Greene | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2005-05-23 |
| 1780123679 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2017-02-13 |
| 1326407024 | Amelia Wilson | Physical Therapist | 980 Professional Park Dr, Clarksville, TN 37040-5251 | 2016-02-23 |
| 1013373141 | Inessa Pavlovna Chernish | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2016-01-05 |
| 1053789149 | Rebecca D Derby | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2015-09-08 |
| 1710360706 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2015-07-08 |
| 1831597806 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2014-12-08 |
| 1114320108 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2014-10-03 |
| 1174937320 | Daisy Tambe | Nurse Anesthetist, Certified Registered | 980 Professional Park Dr, Ste C, Clarksville, TN 37040-5251 | 2014-06-16 |
| 1447594486 | Amanda Jean Fryer | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942567 | Tomika Lisenby | Specialist | 285 Dover Rd, Clarksville, TN 37042-4155 | 2018-02-14 |
| 1225549728 | Tanisha Danielle Puckett | Specialist | 913c Tiny Town Rd Ste 114, Clarksville, TN 37042-4603 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964850 | Shaquela L Sanford | Specialist | 301 N Saint Marks Ave, Chattanooga, TN 37411-3435 | 2020-08-25 |
| 1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
| 1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
| 1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1235606179 | Felicity Domonick Howard | Specialist | 1168 Vickery Ln # 211, Cordova, TN 38016-1664 | 2018-10-29 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1730678772 | Chasity Yvonne Jeffries | Specialist | 375 Vann Dr Ste B, Jackson, TN 38305-6027 | 2018-05-04 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on CLARKSVILLE LIMB & BRACE & REHAB., INC..
| 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.