Victory Orthotics & Prosthetics Llc in Nashville - Prosthetic/orthotic Supplier
Victory Orthotics & Prosthetics Llc - NPI 1861664047
Victory Orthotics & Prosthetics Llc is a Prosthetic/orthotic Supplier in Nashville, Tennessee. Victory Orthotics & Prosthetics Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Victory Orthotics & Prosthetics Llc is 1861664047. The last update date is 2018-10-03.
Victory Orthotics & Prosthetics Llc's current location address is 102 Woodmont Blvd Ste 120, Nashville, Tennessee. You can contact this provider via phone number 6155508774 and fax number 6155508774. The mailing address for Victory Orthotics & Prosthetics Llc is 102 Woodmont Blvd Ste 120, Nashville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victory Orthotics & Prosthetics Llc |
|---|---|
| Address | 102 Woodmont Blvd Ste 120, Nashville, Tennessee |
| Phone Number | 6155508774 |
| Fax Number | 6155508774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Gardner Brad |
| Telephone Number | 6158648790 |
NPI Number Detail
| NPI Number | 1861664047 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2018-10-03 |
Provider Mailing Address Detail
| Address | 102 Woodmont Blvd Ste 120 |
|---|---|
| City | Nashville |
| State | Tennessee (TN) |
| Post Code | 372055249 |
| Phone Number | 6155508774 |
| Fax Number | 6155508774 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1454184 | TN | -- | |
| 4017529 | TN | BCBS | |
| 9190601 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Victory Orthotics & Prosthetics Llc by the Centers for Medicare & Medicaid Services?
The Victory Orthotics & Prosthetics Llc has been issued the NPI (National Provider Identifier) 1861664047. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Victory Orthotics & Prosthetics Llc?
The Victory Orthotics & Prosthetics Llc is situated at 102 Woodmont Blvd Ste 120, in the city of Nashville, state of TN, with the zip code 372055249.
What is the Victory Orthotics & Prosthetics Llc's area of specialization and corresponding taxonomy classification?
The Victory Orthotics & Prosthetics Llc's specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Victory Orthotics & Prosthetics Llc receive the assignment of its 1861664047 from the Centers for Medicare & Medicaid Services?
The Victory Orthotics & Prosthetics Llc was issued its 1861664047 by the Centers for Medicare & Medicaid Services on 2008-03-28.
As of what date were the Victory Orthotics & Prosthetics Llc's details last updated?
The information pertaining to the Victory Orthotics & Prosthetics Llc, including its address, specialty, and other details, was most recently updated on 2018-10-03.