COUNTRY COBBLER, LTD.
NPI 1255681797
Prosthetic/Orthotic Supplier in Durham, NC

Active since September 12, 2012
6815 FAYETTEVILLE ROAD, #102, DURHAM, NC 27713(919) 248-0850(919) 248-0935 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Cobbler, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY COBBLER, LTD. (NPI 1255681797) is a healthcare organization registered as a prosthetic/orthotic supplier in Durham, North Carolina and active in the NPI registry since September 2012. The organization lists Monty K. Mantey, President/ownder, as its authorized official.

NPPES Registry Identity

NPI1255681797
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCOUNTRY COBBLER, LTD.
Location Address6815 FAYETTEVILLE ROAD, #102Durham, NC 27713-7081
Mailing Address6815 Fayetteville Road, #102Durham, NC 27713 · (919) 248-0850 · Fax (919) 248-0935
Fax(919) 248-0935
Organization SubpartNo
Authorized OfficialMonty K. ManteyPresident/ownder · (910) 772-9994
Enumeration DateSeptember 12, 2012
Last NPPES UpdateMay 27, 2014
NPI 1255681797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in NC · 00992
Definition
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.
6815 FAYETTEVILLE ROAD, Durham, NC 27713

Other Identifiers 1

Medicare NSC4649710003NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Cobbler, Ltd.'s NPI number?

The NPI number for Country Cobbler, Ltd. is 1255681797. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Country Cobbler, Ltd. located?

Country Cobbler, Ltd. is located at 6815 Fayetteville Road #102, Durham, NC 27713. The listed phone number is (919) 248-0850.

What is Country Cobbler, Ltd.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Country Cobbler, Ltd. was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.