ADVANCED LIMB & BRACE
NPI 1699772046
Prosthetic/Orthotic Supplier in Amarillo, TX

NPI Status: Active since June 30, 2005

Contact Information

4 MEDICAL DR STE B
AMARILLO, TX
ZIP 79106
Phone: (806) 351-1775
Fax: (806) 351-1754

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About ADVANCED LIMB & BRACE

This page provides the complete NPI Profile along with additional information for Advanced Limb & Brace, a provider established in Amarillo, Texas operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1699772046 assigned on June 2005. The practitioner's primary taxonomy code is 335E00000X with license number 588 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Advanced Limb & Brace. The authorized official of this NPI record is Grace Angeline (Provider Contract Analyst Iii)

NPI
1699772046
Provider Legal Name
PETERMAN ORTHOTICS & PROSTHETICS LLC
Other Organization Name
ADVANCED LIMB & BRACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4 MEDICAL DR STE B AMARILLO, TX 79106
Location Phone
(806) 351-1775
Location Fax
(806) 351-1754
Mailing Address
PO BOX 650846 DALLAS, TX 75265
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-30-2005
Last Update Date
08-01-2024
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Advanced Limb & Brace is a medicare supplier with PTAN 20523161 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
588
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2335E00000XSuppliers

Prosthetic/Orthotic Supplier

215 (TX)
3335E00000XSuppliers

Prosthetic/Orthotic Supplier

404 (TX)
4335E00000XSuppliers

Prosthetic/Orthotic Supplier

591 (TX)
5335E00000XSuppliers

Prosthetic/Orthotic Supplier

101169 (TX)
6335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GRACE ANGELINE

Authorized Official Title
PROVIDER CONTRACT ANALYST III
Authorized Official Phone
(714) 961-2102

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20523161
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699772046
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189147408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 4 + 0 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1699772046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699772046, enumerated in the NPI registry as an "organization" on June 30, 2005

The provider is located at 4 Medical Dr Ste B Amarillo, Tx 79106 and the phone number is (806) 351-1775

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

This NPI record was last updated on June 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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