{
"Npi": {
"NPI": "1700162526",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FALLS CITY LIMB & BRACE CO, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1404 BROWNS LN",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "LOUISVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40207-4655",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-895-8050",
"MailingAddressFaxNumber": "502-895-8056",
"FirstLinePracticeLocationAddress": "1404 BROWNS LN",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "LOUISVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40207-4655",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-895-8050",
"PracticeLocationAddressFaxNumber": "502-895-8056",
"EnumerationDate": "10/25/2011",
"LastUpdateDate": "05/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUCKETT",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "WAYNE",
"AuthorizedOfficialTitle": "OPERATIONS MANAGER, CERT. PROSTHETI",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CP, CPED",
"AuthorizedOfficialTelephoneNumber": "502-584-2959",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "NA",
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}