OrganizationActive
Jared M Lewis
NPI 1720045768 · Prosthetic/Orthotic Supplier · Cocoa, FL
Provider details
- NPI number
- 1720045768
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jared Lewis, Owner/ President(321) 632-1116
- License
- ORF 134 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
906 Dixon Blvd
Cocoa, FL 32922-6890
Phone: (321) 632-1116
Fax: (321) 632-4994
Street-level locationGet directions
Mailing address
906 Dixon Blvd
Cocoa, FL 32922-6890
Other names (DBA / former)
- Doing business as
- J & M Bracing
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.