Organization · Type 2 NPI

Custom Healthcare, LLC

Prosthetic/Orthotic Supplier · Chattanooga, TN

NPI number 1275583783 Active

Practice location

3700 Brainerd Rd Ste 134
Chattanooga, TN 37411-3603

Call (423) 697-0057 Map

Fax (423) 648-9366

Mailing address

3700 Brainerd Rd
Chattanooga, TN 37411-3603

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	1036 (TN)
Customized Equipment (DME)	332BC3200X	1036 (TN)
Oxygen Equipment & Supplies (DME)	332BX2000X	3347 (TN)
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

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.

Other prosthetic/orthotic supplier providers in Chattanooga

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NPI record

NPI: 1275583783
Entity type: Organization (Type 2)
Issued: May 12, 2006
Last updated: Apr 12, 2022
Status: Active

Other names

<unavail>
PPS Orthotic & Prosthetic Services · doing business as
PPS Orthotic & Prosthetic Services · doing business as

Authorized official

Mr. James C Rogers
CEO
(423) 697-0057

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275583783

Custom Healthcare, LLC's National Provider Identifier is 1275583783, issued on May 12, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chattanooga, TN. The record was last updated on Apr 12, 2022.