WOLFCHASE LIMB & BRACE
NPI 1437497377
Prosthetic/Orthotic Supplier in Jackson, TN
NPI Status: Active since January 28, 2013
Contact Information
367 VANN DR
SUITE B
JACKSON, TN
ZIP 38305
Phone: (731) 660-5900
Fax: (731) 660-5050
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 44D1015497
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2027
About WOLFCHASE LIMB & BRACE
This page provides the complete NPI Profile along with additional information for Wolfchase Limb & Brace, a provider established in Jackson, Tennessee operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1437497377 assigned on January 2013. The practitioner's primary taxonomy code is 335E00000X with license number CO003654 (TN). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Larry J Butler Cpo (President)
- NPI
- 1437497377
- Provider Name
- WOLFCHASE LIMB & BRACE
- Entity Type
- Organization
- Location Address
- 367 VANN DR SUITE B JACKSON, TN 38305
- Location Phone
- (731) 660-5900
- Location Fax
- (731) 660-5050
- Mailing Address
- 7625 US HIGHWAY 64 SUITE 103 MEMPHIS, TN 38133
- Mailing Phone
- (901) 507-7821
- Mailing Fax
- (731) 660-5050
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-28-2013
- Last Update Date
- 09-21-2023
- Code Navigator
Wolfchase Limb & Brace is a medicare supplier with PTAN 20581049 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 Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
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.
- CO003654
- License State
- TN
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20581049
- 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
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1015497
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2025
- Certificate Expiration Date
- July 31, 2027
- Laboratory Director
- JOHN R. WICKMAN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wolfchase Limb & Brace in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437497377, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437497377, enumerated as an "organization" on January 28, 2013.
The provider is located at 367 VANN DR SUITE B JACKSON, TN 38305 and the phone number is (731) 660-5900.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
