Provider Demographics
NPI:1720445596
Name:A STEP AHEAD, LLC
Entity type:Organization
Organization Name:A STEP AHEAD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-383-0048
Mailing Address - Street 1:718 THOMPSON LN
Mailing Address - Street 2:STE 115
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3600
Mailing Address - Country:US
Mailing Address - Phone:615-383-0048
Mailing Address - Fax:615-383-1588
Practice Address - Street 1:2745 BOB WALLACE AVE SW
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4158
Practice Address - Country:US
Practice Address - Phone:256-534-8637
Practice Address - Fax:615-383-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNORT0000000184335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6354220006Medicare NSC