NEW LIFE BRACE AND LIMB, LLC (NPI# 1588226211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588226211 |
| Entity Type | Organization |
| Organization Name | NEW LIFE BRACE AND LIMB, LLC |
| Practice Address |
300 E. Sonterra Blvd. Suite 220 San Antonio TX 78258 |
| Mailing Address |
7525 South Freeway Houston TX 77021 |
| Practice Telephone | 8302544400 |
| Practice Fax Number | 8302544401 |
| Mailing Telephone | 7134407000 |
| Mailing Fax Number | 7134407002 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | RUSSELL BOONE (OWNER) |
| Authorized Official Telephone | 7134407000 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW LIFE BRACE AND LIMB, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992934764 | New Life Brace and Limb, LLC | Prosthetic/Orthotic Supplier | 7525 South Fwy, Houston, TX 77021-5928 | 2009-07-14 |
| 1770718827 | New Life Brace and Limb, LLC | Prosthetic/Orthotic Supplier | 1666 W Baker Rd # B, Baytown, TX 77521-2271 | 2009-05-19 |
| 1497895817 | New Life Brace and Limb, LLC | Prosthetic/Orthotic Supplier | 250 Blossom St Ste 200, Webster, TX 77598-4243 | 2007-02-07 |
| 1710393475 | New Life Brace and Limb, LLC | Prosthetic/Orthotic Supplier | 17450 St Lukes Way, Suite 270, Conroe, TX 77384-8044 | 2014-07-02 |
| Street Address |
300 E. SONTERRA BLVD. SUITE 220 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| 1891292181 | Amy Michelle Olvera | Nurse Practitioner | 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 | 2018-04-12 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1326692351 | Steven Gomez Herrera Sr. | Orthotist | 7410 John Smith Dr Ste 213, San Antonio, TX 78229-6000 | 2019-07-29 |
| 1437419595 | Robert Quiroz | Orthotist | 1901 Babcock Rd Ste 103, San Antonio, TX 78229-4544 | 2012-05-23 |
| 1346509940 | Fernando Ordaz | Orthotist | 14423 Rifleman Rd, San Antonio, TX 78254-4420 | 2012-05-16 |
| 1316206386 | Michael Manney | Orthotist | 930 Proton Rd Ste 100, San Antonio, TX 78258-4232 | 2012-05-11 |
| 1144586389 | Lorenzo L. Gonzalez | Orthotist | 11933 Network Blvd, San Antonio, TX 78249-3399 | 2012-04-02 |
| 1215160817 | Darren Poidevin | Orthotist | 4204 Gardendale St Ste 124, San Antonio, TX 78229-3139 | 2009-08-29 |
| 1003047044 | Mario Carlos Guerra | Orthotist | 21 Spurs Ln Ste 260, San Antonio, TX 78240-1671 | 2009-08-06 |
| 1164653390 | John W Gibson | Orthotist | 7271 Wurzbach Rd Ste 128, San Antonio, TX 78240-4718 | 2009-08-05 |
| 1437151644 | David Mark Gerecke | Orthotist | 1119 Fresno, San Antonio, TX 78201-4227 | 2005-06-01 |
| 1225435290 | Victor Jorge Narvaez | Orthotist | 21 Spurs Ln, Suite 260, San Antonio, TX 78240-1669 | 2014-11-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.