NEVADA LIMB & BRACE LLC (NPI# 1124675848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124675848 |
| Entity Type | Organization |
| Organization Name | NEVADA LIMB & BRACE LLC |
| Practice Address |
1505 Wigwam Pkwy Suite 141 Henderson NV 89074-8195 |
| Practice Telephone | 7028991700 |
| Practice Fax Number | 7028991813 |
| Mailing Telephone | 7028991700 |
| Mailing Fax Number | 7028991813 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | RUBEN A GARDEA (MANAGING MEMBER) |
| Authorized Official Telephone | 7028991700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1505 WIGWAM PKWY SUITE 141 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1821381328 | Park Medical Wear, Inc. | Prosthetic/Orthotic Supplier | 1697 Freedom Ct, Henderson, NV 89014-7526 | 2011-05-17 |
| 1871734947 | Range of Motion | Prosthetic/Orthotic Supplier | 1302 Dabney Drive, Henderson, NC 27536-3531 | 2009-03-18 |
| 1447443320 | John Issac Goli | Prosthetic/Orthotic Supplier | 2642 Horizon Ridge Pkwy, #a5, Henderson, NV 89052-6480 | 2007-08-23 |
| 1720286966 | Orthopedic Motion Inc | Prosthetic/Orthotic Supplier | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2007-07-10 |
| 1679780381 | Sequent Corporation | Prosthetic/Orthotic Supplier | 10520 S Eastern Ave, #100, Henderson, NV 89052-3900 | 2007-05-16 |
| 1821053869 | Bio-tech Prosthetics Orthotics | Prosthetic/Orthotic Supplier | 855-b South Beckford Dr, Henderson, NC 27536 | 2006-04-20 |
| 1235619776 | Physiotherapy Associates, Inc. | Prosthetic/Orthotic Supplier | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2018-08-15 |
| 1427136845 | North Carolina Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 451 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2878 | 2006-11-02 |
| Find all providers in HENDERSON | ||||
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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.