BRACE SHOP & PROSTHETIC SERVICES INC (NPI# 1205900198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205900198 |
| Entity Type | Organization |
| Organization Name | BRACE SHOP & PROSTHETIC SERVICES INC |
| Other Organization Name | THE BRACE SHOP |
| Practice Address |
375 Thomas More Pkwy Crestview Hills KY 41017-2176 |
| Mailing Address |
2135 Dana Ave Cincinnati OH 45207-1313 |
| Practice Telephone | 5134215653 |
| Mailing Telephone | 5134215653 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | SHERYL PRICE (DIR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5034938288 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90254137 | 05 | |
| IN | 100001360A | 05 | |
| WV | 6305002000 | 05 | |
| OH | 0909502 | 05 |
| Other Name | Type Code |
|---|---|
| The Brace Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396819280 | Brace Shop & Prosthetic Services Inc | Durable Medical Equipment & Medical Supplies | 62 Doughty Rd, Lawrenceburg, IN 47025-2950 | 2006-11-20 |
| Street Address |
375 THOMAS MORE PKWY |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545590 | Michael S Halpin | Ophthalmology | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2005-06-01 |
| 1295089845 | David L Mills | Hearing Instrument Specialist | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2012-11-05 |
| 1194001859 | Diane H. Mando | Technician/Technologist | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2011-10-26 |
| 1669685285 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2007-05-08 |
| 1154542496 | Ssj Incorporated | Eyewear Supplier (Equipment, not the service) | 375 Thomas More Pkwy, Crestview Hills, KY 41017-2176 | 2007-05-02 |
| 1235206764 | Tristate Centers for Sight, Inc. | Ophthalmology | 375 Thomas More Pkwy, Suite 110, Crestview Hills, KY 41017-2176 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1467511162 | Foot Specialists of Greater Cincinnati | Prosthetic/Orthotic Supplier | 2865 Chancellor Drive, Suite 205, Crestview Hills, KY 41017-3931 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
| 1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
| 1013385558 | Kenney Orthopedics of Paducah, LLC | Prosthetic/Orthotic Supplier | 224 Berger Rd, Paducah, KY 42003-4522 | 2015-09-14 |
| 1750790689 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 4975 Alben Barkley Dr, Suite 2, Paducah, KY 42001-6722 | 2014-08-05 |
| 1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
| 1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
| 1598012262 | Premier Orthotics Inc. | Prosthetic/Orthotic Supplier | 13329 Prospect Glen Way, Prospect, KY 40059-8184 | 2012-08-13 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| 1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.